Individual
BRIDGETTE BOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA 1-18-33746
Contact information
Practice address
400 E. 22ND ST. SUITE A, LOMBARD, IL 60148-1394
(630) 919-8218
Mailing address
400 E. 22ND ST., LOMBARD, IL 60148-1394
(630) 919-8218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33746
—
Other
Enumeration date
05/11/2018
Last updated
05/08/2023
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