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TISHANA BOLEN
NPI 1912575432
Behavior Technician in Ionia, MI

Active since June 11, 2021
375 APPLE TREE DR, IONIA, MI 48846(616) 527-1790 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tishana Bolen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TISHANA BOLEN (NPI 1912575432) is an individual behavior technician in Ionia, Michigan and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1912575432
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameTISHANA BOLEN
Location Address375 APPLE TREE DRIonia, MI 48846-7506
Mailing Address375 Apple Tree DrIonia, MI 48846-7506
Phone(616) 527-1790
Sole ProprietorNo
Enumeration DateJune 11, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1912575432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

375 APPLE TREE DR, Ionia, MI 48846
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Other Identifiers 1

Medicaid1715928MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN S CAMPBELL LMSW
Social Worker (Clinical)
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
LAURIE ANN BOUSSOM LMSW
Social Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 902-4760
MARY LYNN BLANDING RN
Registered Nurse (Psychiatric/Mental Health)
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
MELISSA DAWN JOUSMA LMSW
Social Worker (Clinical)
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
RONA ANN SHANE LBSW
Social Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
WANDA J GREENHOE LBSW
Social Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
REBECCA ANN FLINT BSW
Social Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790
JULIE ANN DOWLING LMSW
Social Worker
375 APPLE TREE DR
IONIA, MI 48846
Ionia County (616) 527-1790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tishana Bolen's NPI number?

The NPI number for Tishana Bolen is 1912575432. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Tishana Bolen located?

Tishana Bolen practices at 375 Apple Tree Dr, Ionia, MI 48846. The listed phone number is (616) 527-1790.

What is Tishana Bolen's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Tishana Bolen was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.