Taylor Clare Bolton
Behavior Technician in Mendota Heights, MN. Individual provider (NPI-1).
NPI number1891531968
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1891531968
- Entity type
- Individual (NPI-1)
- Name
- Taylor Clare Bolton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2024
- Certification date
- Jul 8, 2024
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1160 Centre Pointe DriveSte 7
Mendota Heights, MN 55120-1351
Phone 952-401-9359
Mailing address
1450 Desanctis Pl Apt 106River Falls, WI 54022-3028
Phone 320-295-6566
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All 320 Behavior Technician providers in Mendota Heights · All 629 providers in Mendota Heights
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