Individual
CHAD BOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
707 LAKE COOK RD STE 314, DEERFIELD, IL 60015-4933
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-173619
IL
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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