Individual
LIESHA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 ROCK BLVD STE 3, SPARKS, NV 89431-0956
(775) 499-5525
Mailing address
1200 ROCK BLVD STE 3, SPARKS, NV 89431-0956
(775) 499-5525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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