Samantha Nicole Bolanos
Samantha Nicole Bolanos is a Behavior Technician in Costa Mesa, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3303 Harbor Blvd Ste B8Costa Mesa, CA 92626-1517
Phone: (714) 786-6069
Fax: (714) 834-9822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1205481587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 5, 2019 |
| Last updated in NPPES | August 5, 2019 |
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