Ethan Boose, CT is a
Behavior Technician based in Farmington Hills, Michigan. Ethan Boose is licensed to practice in * (Not Available) (license number ) and his current practice location is
27777 Inkster Rd Ste 100, Farmington Hills, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 256-5020.
NPI number for Ethan Boose is 1619434180 and his current mailing address is 27777 Inkster Rd Ste 100, Farmington Hills, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619434180.
Healthcare Provider's Profile
Full Name | Ethan Boose |
---|
Gender | Male |
---|
Speciality | Behavior Technician |
---|
Location | 27777 Inkster Rd Ste 100, Farmington Hills, Michigan |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619434180
- Provider Enumeration Date: 02/21/2019
- Last Update Date: 10/10/2024
Medical Identifiers
Medical identifiers for Ethan Boose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619434180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | C.1901561-TRNE (Ohio) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Boose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ethan Boose, CT 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 Ph: (248) 256-5020 | Ethan Boose, CT 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 Ph: (248) 256-5020 |
Reviews and Comments