Organization
MYLESTONES EARLY INTERVENTION
Active
Other names
Mylestones
Organization subpart
No
Provider details
NPI number
Authorized official
NINA BOLING ED.D., BCBA (CHIEF EXECUTIVE OFFICER)
(209) 884-2424
Entity
Organization
Contact information
Practice address
515 13TH ST # 108, MODESTO, CA 95354-2437
(209) 884-2424
Mailing address
1457 SERENO DR, MANTECA, CA 95337-7000
(209) 884-2424
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
08/29/2024
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