Search › Texas › 103K00000X
Mitchell Boston, MS, BCBA, LBA
NPI 1861243388 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2417 Presidio Vista Dr
Fort Worth, TX 76177 - Phone
- (682) 316-9008
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas