Dakota Renne Bolin Valid NPI
Individual provider · Behavior Technician · Brookhaven, MS
- NPI
- 1952126328
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-24-392822 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-11-20
- Last updated
- 2024-11-20
Practice location
1094 S First St Ne
Brookhaven, MS 39601-4762
(769) 233-7154