Bridgette Bolen, BCBA 1-18-33746

NPI #1588154827 in Lombard, Illinois

Provider Information

NPI Number: 1588154827
Entity Type: Individual
Name: Bridgette Bolen, BCBA 1-18-33746
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA 1-18-33746
Enumeration Date: May 11, 2018
Last Updated: May 8, 2023

Practice Location

Address: 400 E. 22ND ST. SUITE A
City: Lombard
State: Illinois
ZIP Code: 60148-1394
Phone: (630) 919-8218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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