Provider Demographics
NPI:1497089924
Name:BOYD, JURICUS C (BCBA)
Entity Type:Individual
Prefix:
First Name:JURICUS
Middle Name:C
Last Name:BOYD
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 LOCUST GROVE DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-7418
Mailing Address - Country:US
Mailing Address - Phone:901-428-3625
Mailing Address - Fax:901-624-2260
Practice Address - Street 1:414 LOCUST GROVE DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-7418
Practice Address - Country:US
Practice Address - Phone:901-428-3625
Practice Address - Fax:901-624-2260
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst