Healthcare Provider Details

I. General information

NPI: 1306318415
Provider Name (Legal Business Name): AMBER BOUVIER BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2018
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20A NORTHWEST BLVD
NASHUA NH
03063-4066
US

IV. Provider business mailing address

155 MAIN DUNSTABLE RD STE 150
NASHUA NH
03060-3640
US

V. Phone/Fax

Practice location:
  • Phone: 603-554-1820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-33949
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: