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Organization

BOLIVIAN HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE ALVAREZ (OWNER, BCBA)
(650) 720-0637
Entity
Organization

Contact information

Practice address
11130 FAIRFAX BLVD STE 305, FAIRFAX, VA 22030-5035
(571) 918-9977
(571) 415-5459
Mailing address
11130 FAIRFAX BLVD STE 305, FAIRFAX, VA 22030-5035
(571) 918-9977
(571) 415-5459

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/26/2023
Last updated
01/26/2023
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