Bolling Behavioral Consulting
Behavior Analyst in Decatur, GA. Organization (NPI-2).
NPI number1164067310
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1164067310
- Entity type
- Organization (NPI-2)
- Legal business name
- Bolling Behavioral Consulting
- Organization subpart
- No
- Enumeration date
- Nov 12, 2019
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
2766 Da Vinci BlvdDecatur, GA 30034-3116
Phone 404-804-7235
Mailing address
2766 Da Vinci BlvdDecatur, GA 30034-3116
Phone 404-804-7235
Authorized official
Ryan Bolling
Owner
4048047235
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