Individual
ANGEL TYQUALA BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
937 VANTAGE WAY, GREENVILLE, SC 29611-7575
(864) 361-9851
Mailing address
937 VANTAGE WAY, GREENVILLE, SC 29611-7575
(864) 361-9851
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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