Individual
ALEC BOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7567 AMADOR VALLEY BLVD STE 201, DUBLIN, CA 94568-2443
(925) 640-1220
Mailing address
7567 AMADOR VALLEY BLVD STE 201, DUBLIN, CA 94568-2443
(925) 640-1220
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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