NPI 1952126328

Dakota Renne Bolin

Practitioner Behavior Technician Brookhaven, MS

Practice location

Address: 1094 S First St NE, Brookhaven, MS 39601-4762
Phone: (769) 233-7154
Mailing address: 529 Schmidt Rd NE, Meadville, MS 39653-8379

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-392822 (MS)

Other Behavior Technician providers in Mississippi →

Registry record

NPI: 1952126328
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2024
Record last updated: 20 Nov 2024

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.