Ingram, Brooke Boucher

Ingram, Brooke Boucher is an sole proprietor health care provider with primary practice located at 1225 S Church St Apt 336 , Charlotte NC 28203-4186. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Ingram, Brooke Boucher can be contacted via phone (704) 891-6253.

Contact Information

Primary practice address
1225 S Church St Apt 336 Charlotte NC 28203-4186
Phone: (704) 891-6253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-19-9987

Profile Details

NPI number 1275024028
LBN Legal business name Ingram, Brooke Boucher
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2018
Last updated Oct 1st, 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.

Request for update

Popular Providers