Individual
CHANNING BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W MOANA LN, SUITE 2, RENO, NV 89509-4775
(775) 337-2394
(775) 337-9570
Mailing address
3536 PRAIRIE MEADOW ST, LAS VEGAS, NV 89129-7204
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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