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Individual

BRIANNA BOLOTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 N GREENLEAF ST STE B, GURNEE, IL 60031-3326
(847) 604-0955
Mailing address
105 N GREENLEAF ST STE B, GURNEE, IL 60031-3326
(847) 604-0955

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/09/2022
Last updated
10/27/2025
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