Individual
MRS. KAYLA BOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8216
(847) 984-5602
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8216
(847) 984-5602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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