Bolanos, Alejandra

Bolanos, Alejandra is an individual health care provider with primary practice located at 306 N Kensington Ave , La Grange Park IL 60526-1870. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty.

Contact Information

Primary practice address
306 N Kensington Ave La Grange Park IL 60526-1870
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1508490533
LBN Legal business name Bolanos, Alejandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2020
Last updated Feb 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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