Individual provider · Type 1 NPI
Boa Moua
Developmental Therapist · Fitchburg, MA
Practice location
44 Highland Ave Apt 1
Fitchburg, MA 01420-7815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1215428248
Boa Moua's National Provider Identifier is 1215428248, issued on May 25, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fitchburg, MA. The record was last updated on May 25, 2018.