MEDICARE: STEVEN ALAN BOLIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1780531152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ALAN BOLIN

Provider Business Mailing Address
First Line	:	480 S ROGERS RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1706
Country	:	US
Telephone Number	:	913-324-3849
Fax Number	:	913-780-3387

Provider Business Practice Location Address
First Line	:	480 S ROGERS RD
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1706
Country	:	US
Telephone Number	:	913-324-3849
Fax Number	:	913-780-3387

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ STEVEN ALAN BOLIN ” Practice Location

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