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NPI Code Detail

MEDICARE: VICTORIA KAHEALANI BOLES

MEDICARE: VICTORIA KAHEALANI BOLES
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1992648125
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA KAHEALANI BOLES
Provider Business Mailing Address
First Line : 5851 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-3475
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5851 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28311-3475
Country : US
Telephone Number : 910-803-3633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ VICTORIA KAHEALANI BOLES ” Practice Location

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