Whitney Hendricks Bolle, M.A., BCBA
Individual provider Active NPI Behavior Analyst · Dunwoody, GA
NPI 1689903809 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1689903809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-09-5799 (CA)
- Practice address
- 7 Dunwoody Park Ste 116
Dunwoody, GA 30338-6711 - Phone
- (470) 223-8123
- NPI assigned
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Autism Services LLC | Behavior Analyst | Current |
Accepting new patients |
| Grove School LLC | Past |
Accepting new patients |
Locations
7 Dunwoody Park
Ste 116
Dunwoody, GA 30338
Phone (470) 223-8123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-09-5799 | CA | Yes |
Addresses
Primary practice location
7 Dunwoody Park Ste 116
Dunwoody, GA 30338-6711
Mailing address
1425 Mile Post Dr
Dunwoody, GA 30338-4745
Phone (470) 223-8123
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2023. 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.