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

Heather Nicole Boucos

Individual provider Behavior Technician · NPI 1962281980

Heather Nicole Boucos is a Behavior Technician in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4170 N 108th Ave
Phoenix, AZ 85037-5469
Phone: (480) 751-1957
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1962281980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023

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