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

Katherine Bolanos

Individual provider Behavior Analyst · NPI 1922724863

Katherine Bolanos is a Clinical Social Worker in N las Vegas, Nevada. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
In the registry since
2022

Practice location Address checks out

4344 W Cheyenne Ave
N las Vegas, NV 89032-2484
Phone: (702) 675-6314
Fax: (702) 476-9697
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1922724863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address4344 W Cheyenne Ave, N Las Vegas, NV 89032-2484

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in N las Vegas