| NPI | 1902442130 |
|---|---|
| Doing Business As | BOUNDLESS EXPRESSION THERAPY & DIAG |
| Entity Type | Organization |
| Authorized Contact | STACY GOLDEN Owner/Provider 805-216-5604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |