Donique Boazeman
Donique Boazeman is a Behavior Technician in Medford, Oregon. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 6
Practice location Address checks out
3140 Juanipero Way Ste 101Medford, OR 97504-8647
Phone: (541) 323-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
| Health & Wellness Coach | Taxonomy 171400000X |
| Community Health Worker | Taxonomy 172V00000X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1528955622 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 20, 2025 |
| Last updated in NPPES | June 20, 2025 |
| Certification date | June 20, 2025 |
| Mailing address | 225 Main St Unit 202, Hiram, GA 30141-6101 |
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Tyson J Burruss
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Chloe Burtz
3140 Juanipero Way Ste 101, Medford, OR 97504-8647 · (541) 323-4800
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Kellie Bryson Carr
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