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NPI Code Detail

MEDICARE: CAROLINE ELIZABETH BOYETTE

MEDICARE: CAROLINE ELIZABETH BOYETTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst14885

General Provider Information

NPI Number : 1447850300
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE ELIZABETH BOYETTE
Provider Business Mailing Address
First Line : 101 VIRGINIA AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7000
Country : US
Telephone Number : 910-284-6620
Fax Number :
Provider Business Practice Location Address
First Line : 101 VIRGINIA AVE
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7000
Country : US
Telephone Number : 919-375-0475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 05/01/2024

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Directions to “ CAROLINE ELIZABETH BOYETTE ” Practice Location

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