Individual
SKYLAR BOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
613 STEPHENSON AVE STE 206, SAVANNAH, GA 31405
(912) 349-2479
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 695-2277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31477
GA
106S00000X
Behavior Technician
—
AL
Other
Enumeration date
11/12/2016
Last updated
06/18/2019
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