Boucher, Jeremy M

Boucher, Jeremy M is an individual health care provider with primary practice located at 290 W Exchange Street Suite 101, Providence RI 02903. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Boucher, Jeremy M can be contacted via phone (401) 214-2330.

Contact Information

Primary practice address
290 W Exchange Street Suite 101 Providence RI 02903
Phone: (401) 214-2330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1366097115
LBN Legal business name Boucher, Jeremy M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2019
Last updated Aug 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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