Individual
CHARIS BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 N RANCHO DR STE 105, LAS VEGAS, NV 89130-3361
(702) 982-3636
(702) 982-3737
Mailing address
8250 N GRAND CANYON DR UNIT 1140, LAS VEGAS, NV 89166-3738
(702) 717-4880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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