ETHAN BOOSE

FARMINGTON HILLS, MI
NPI1619434180
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101Y00000X Counselor
(Licence: OH  C.1901561-TRNE)
Enumeration Date2019-02-21
Last Update Date2024-10-10
Business Address
ETHAN BOOSE CT
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-256-5020
Mailing Address
ETHAN BOOSE CT
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-256-5020
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