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NPI Code Detail

MEDICARE: EMILY BOARMAN

MEDICARE: EMILY BOARMAN
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 TechnicianRBT-22-233131IN

General Provider Information

NPI Number : 1629760699
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BOARMAN
Provider Business Mailing Address
First Line : 38 W MAIN ST
Second Line :
City : CARMEL
State : IN
Zip : 46032-1764
Country : US
Telephone Number : 888-717-5835
Fax Number :
Provider Business Practice Location Address
First Line : 1004 W ILLINOIS ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1114
Country : US
Telephone Number : 888-717-5835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 09/02/2025

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Directions to “ EMILY BOARMAN ” Practice Location

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