Bolin, Jeffrey Tyler

Bolin, Jeffrey Tyler is an sole proprietor health care provider with primary practice located at 2614 Charlestown Rd , New Albany IN 47150-2529. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bolin, Jeffrey Tyler can be contacted via phone (930) 204-2414.

Contact Information

Primary practice address
2614 Charlestown Rd New Albany IN 47150-2529
Phone: (930) 204-2414
Fax: (765) 448-1864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 163604 Kentucky

Profile Details

NPI number 1700279601
LBN Legal business name Bolin, Jeffrey Tyler
Credentials MS, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2015
Last updated Oct 28th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700279601 NPPES
Kentucky Other 1-15-18435 BCBA CERTIFICATE

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