Jeanine Bolden

NPI #1689277899 in Adelanto, California

Provider Information

NPI Number: 1689277899
Entity Type: Individual
Name: Jeanine Bolden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2020
Last Updated: Nov 19, 2020

Practice Location

Address: 11200 AUBURN AVE APT 49
City: Adelanto
State: California
ZIP Code: 92301-2042
Phone: (951) 419-8971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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