Individual
KHALIYAH EM BOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 POWELL ST STE 900, EMERYVILLE, CA 94608-1888
(510) 928-3773
Mailing address
4858 VINEWOOD WAY, ANTIOCH, CA 94531-8126
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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