Most Relevant Information
Provider Data
| NPI Number: | 1003597626 |
| Provider Name: | VICTORIA MICHEL BOESEN MA, BCABA |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: | 0-23-14540 |
Most Important Dates
| Enumeration Date: | 07/27/2023 |
| Last Updated: | 07/27/2023 |
Provider Practice Location
17520 OLD JEFFERSON HWY
PRAIRIEVILLE
LA
707693903
Practice Location Phone/Fax
| Phone: | 2253006710 |
| Fax: |
Provider Mailing Location
14507 ESSEN TERRACE DR
GONZALES
LA
707377164
Provider Mailing Phone/Fax
| Phone: | 9852331074 |
| Fax: |