Tyler Robert Bolda
Behavior Analyst in Clinton Township, MI. Individual provider (NPI-1).
NPI number1508554361
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1508554361
- Entity type
- Individual (NPI-1)
- Name
- Tyler Robert Bolda
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2023
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 7401003464 | MI | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
16700 17 Mile RdClinton Township, MI 48038-7325
Phone 586-228-2300 · Fax 586-228-2307
Mailing address
16700 17 Mile RdClinton Township, MI 48038-7325
Phone 586-228-2300 · Fax 586-228-2307
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All 45 Behavior Analyst providers in Clinton Township · All 3,035 providers in Clinton Township
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