NPI 1083366280 · live from the CMS NPI Registry
Joni Lynn Bolton
Behavior Analyst in Clackamas, OR. National Provider Identifier 1083366280, active.
NPI record
| NPI | 1083366280 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 12901 Se 97th Ave Ste 180, Clackamas, OR 97015 |
| Practice phone | 971-206-6337 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | January 19, 2022 |
| Last updated | January 19, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.