Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlene Boulton

Individual provider Behavior Technician · NPI 1669180584

Charlene Boulton is a Behavior Technician in Dearborn, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

2021 Monroe St Ste 304
Dearborn, MI 48124-2926
Phone: (517) 245-4778
Fax: (517) 698-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1669180584
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022
Mailing addressPo Box 12279, Lansing, MI 48901-2279

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