Individual
MELANIE DANIELLE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
215 MAPLE ST NE, ALBUQUERQUE, NM 87106-4609
(505) 410-8873
Mailing address
215 MAPLE ST NE, ALBUQUERQUE, NM 87106-4609
(505) 410-8873
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47337
NM
Other
Enumeration date
06/19/2015
Last updated
01/19/2023
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