MEDICARE: AUDREY BOE

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1720910383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY BOE

Provider Business Mailing Address
First Line	:	619 BETHAL PL
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-1547
Country	:	US
Telephone Number	:	925-428-4651
Fax Number	:

Provider Business Practice Location Address
First Line	:	619 BETHAL PL
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-1547
Country	:	US
Telephone Number	:	925-428-4651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

Similar Medicare Providers

1174454086 — EVERYDAY WELLNESS THERAPY
Practice Location Address:

246 SCOTT ST
LIVERMORE, CA
94551-4928

Practice Phone: 510-952-7527
Practice Fax:

1942960463 — EDEN ZAFRA LCSW
Practice Location Address:

2441 CONSTITUTION DR
LIVERMORE, CA
94551-7573

Practice Phone: 925-505-4700
Practice Fax:

1679559348 — MICHAEL LOPEZ DDS
Practice Location Address:

4375 1ST ST
LIVERMORE, CA
94551-4912

Practice Phone: 650-580-1082
Practice Fax:

1265482731 — HOME HEALTH RESOURCE, INC.
Practice Location Address:

4361 TECHNOLOGY DR , SUITE C
LIVERMORE, CA
94551-4989

Practice Phone: 510-352-9592
Practice Fax: 510-352-4580

1578500906 — LUCKY STORES II LLC
Practice Location Address:

2000 PORTOLA AVE
LIVERMORE, CA
94551-1762

Practice Phone: 925-456-7697
Practice Fax: 925-456-7745

1558302679 — DANIEL J. WILLIAMS DC
Practice Location Address:

4475 1ST ST
LIVERMORE, CA
94551-4915

Practice Phone: 925-449-3356
Practice Fax: 925-449-5229

Directions to “ AUDREY BOE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.