Individual
GIRIJA BOLLAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16880 MIDDLEBELT RD STE 1, LIVONIA, MI 48154-3374
(734) 371-7101
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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