Individual
JESSICA BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8558 BLACK STAR CIR, COLUMBIA, MD 21045-2649
(240) 918-2363
Mailing address
8558 BLACK STAR CIR, COLUMBIA, MD 21045-2649
(240) 918-2363
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2144
MD
106S00000X
Behavior Technician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523411500
—
MD
Enumeration date
12/31/2019
Last updated
04/21/2025
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