Boussom, Teresa

Boussom, Teresa is an sole proprietor health care provider with primary practice located at 179 Lukens Mill Dr , Coatesville PA 19320-3968. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Boussom, Teresa can be contacted via phone (215) 327-9591.

Contact Information

Primary practice address
179 Lukens Mill Dr Coatesville PA 19320-3968
Phone: (215) 327-9591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1174953681
LBN Legal business name Boussom, Teresa
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2013
Last updated Jan 8th, 2020 - about 6 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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