Boschert, Andrea M
Boschert, Andrea M is an individual health care provider with primary practice located at 105 Sheriff Dierker Ct , O Fallon MO 63366-2468. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Boschert, Andrea M can be contacted via phone (636) 978-4951.Contact Information
Primary practice address
105 Sheriff Dierker Ct
O Fallon MO 63366-2468
Phone: (636) 978-4951
Fax: (636) 978-7885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2011008957 | Missouri |
Profile Details
| NPI number | 1386936037 |
|---|---|
| LBN Legal business name | Boschert, Andrea M |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2011 |
| Last updated | Dec 6th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386936037 | NPPES |
| Missouri | Other | 2011008957 | LICENSE |
| Missouri | Other | 0-10-3821 | LICENSE |
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