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

Mrs. Heather M Bolanos, MSSLP

Individual provider Behavior Analyst · NPI 1457610826

Mrs. Heather M Bolanos, MSSLP is a Behavior Analyst in Melville, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2

Practice location Address checks out

538 Broadhollow Rd Ste 202
Melville, NY 11747-3668
Phone: (516) 322-6349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 021899 (NY)
Behavior Analyst Taxonomy 103K00000X · Licence 1-16-22124 (NY)

Record details

NPI number1457610826
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP
Sole proprietorNo
NPI enumeratedMay 4, 2012
Last updated in NPPESOctober 20, 2024
Certification dateOctober 20, 2024

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