Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Dwight Bolanos

Individual provider Behavior Technician · NPI 1770431660

Andre Dwight Bolanos is a Behavior Technician in Newport Beach, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4695 Macarthur Ct Ste 1100
Newport Beach, CA 92660-1866
Phone: (877) 418-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1770431660
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834

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