Juana Eugenia Bolanos, BCBA
Individual provider Active NPI Behavior Analyst · Stirling, NJ
NPI 1033616610 · NPPES record last updated Apr 10, 2018
Key facts
- NPI
- 1033616610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-18-29332 (NJ)
- Practice address
- 1071 Valley Rd
Stirling, NJ 07980-1523 - Phone
- (908) 604-4500
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-29332 | NJ | Yes |
Addresses
Primary practice location
1071 Valley Rd
Stirling, NJ 07980-1523
Mailing address
1071 Valley Rd
Stirling, NJ 07980-1523
Phone (908) 604-4500
Other providers in Stirling, NJ
- Achieving Better Life Experiences
- Emma Alexandra Alparone
- Alyssa Balzarotti
- Sarah A Bentzinger
- Kaylyn Bettencourt
- Mariajose Bowden
- Lavonia M Burgess
- Lisa Butler
- Elizabeth A Cahill
- Cambridge Behavioral Health, LLC
All providers in Stirling, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.