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

Jacquelyn Bolden

Individual provider Behavior Technician · NPI 1790439420

Jacquelyn Bolden is a Behavior Technician in Gardena, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1149 W 190th St Ste 2200
Gardena, CA 90248-4344
Phone: (310) 856-0800
Fax: (855) 568-2494
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 number1790439420
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address1149 W 190th St Ste 2200, Gardena, CA 90248-4344

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