Individual
KATHERINE BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4344 W CHEYENNE AVE, N LAS VEGAS, NV 89032-2484
(702) 675-6314
(702) 476-9697
Mailing address
4344 W CHEYENNE AVE, N LAS VEGAS, NV 89032-2484
(702) 675-6314
(702) 476-9697
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
12/22/2022
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