Alejandra Bolanos

NPI #1508490533 in La Grange Park, Illinois

Provider Information

NPI Number: 1508490533
Entity Type: Individual
Name: Alejandra Bolanos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2020
Last Updated: Feb 28, 2020

Practice Location

Address: 306 N KENSINGTON AVE
City: La Grange Park
State: Illinois
ZIP Code: 60526-1870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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