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

Tishana Bolen

Individual provider Behavior Technician · NPI 1912575432

Tishana Bolen is a Behavior Technician in Ionia, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

375 Apple Tree Dr
Ionia, MI 48846-7506
Phone: (616) 527-1790
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 number1912575432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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