| NPI | 1912510074 |
|---|---|
| Doing Business As | BOOST BEHAVIORAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | KELSEY FREEZE Owner 912-655-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-09-24 |