Individual
COURTNEY BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5939 RICE CREEK PKWY, SHOREVIEW, MN 55126-5021
(612) 888-9889
Mailing address
14835 XKIMO ST NW, RAMSEY, MN 55303-6189
(636) 140-4467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
01/03/2020
Last updated
01/15/2026
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