Individual
LARA BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
99-870 IWAENA ST STE 101, AIEA, HI 96701-3278
(808) 277-7736
Mailing address
99-870 IWAENA ST STE 101, AIEA, HI 96701-3278
(808) 277-7736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1107050
CA
103K00000X
Behavior Analyst
Primary
BA-20
HI
Other
Enumeration date
08/31/2011
Last updated
07/21/2016
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