Provider Demographics
NPI:1801185749
Name:BOLAND, BARBARA G (LSW, BCBA, HSV)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:G
Last Name:BOLAND
Suffix:
Gender:F
Credentials:LSW, BCBA, HSV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 QUARRY DR
Mailing Address - Street 2:SUITE B-23
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1155
Mailing Address - Country:US
Mailing Address - Phone:610-781-3674
Mailing Address - Fax:610-678-9636
Practice Address - Street 1:2209 QUARRY DR
Practice Address - Street 2:SUITE B-23
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1155
Practice Address - Country:US
Practice Address - Phone:610-781-3674
Practice Address - Fax:610-678-9636
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW003323E103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst