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Organization

MYLESTONES EARLY INTERVENTION

Active
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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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