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

Jacqueline Teresa Bolanos Rivas

Individual provider Behavior Technician · NPI 1275240236

Jacqueline Teresa Bolanos Rivas is a Behavior Technician in Fresno, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1401 Fulton St Ste 200
Fresno, CA 93721-1646
Phone: (559) 348-9225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1275240236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

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