NPI 1104459056

Kelby Bolling, BCBA

Practitioner Behavior Analyst Conway, AR

Practice location

Address: 2740 College Ave, Conway, AR 72034-6141
Phone: (501) 329-5459

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-31958 (AR)

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Registry record

NPI: 1104459056
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2020
Record last updated: 19 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.