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

Jeremy M Boucher

Individual provider Behavior Technician · NPI 1366097115

Jeremy M Boucher is a Behavior Technician in Providence, Rhode Island. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

290 W Exchange St Ste 101
Providence, RI 02903
Phone: (401) 214-2330
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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 number1366097115
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESAugust 8, 2019

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