Individual
ANGELA NAYELI BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 PARK ST, NAPERVILLE, IL 60563-4861
(877) 486-4140
Mailing address
113 BLUEGRASS PKWY, OSWEGO, IL 60543-7702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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