IndividualActive
Jennifer Bolanos
NPI 1790408904 · Behavior Technician · Canoga Park, CA
Jennifer Bolanos is a Behavior Technician provider in Canoga Park, CA (NPI 1790408904).
Provider details
- NPI number
- 1790408904
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056
Phone: (888) 428-3223
Street-level locationGet directions
Mailing address
4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2022-09-22
- Certified
- 2022-09-22
Frequently asked questions
- What is Jennifer Bolanos's NPI number?
- Jennifer Bolanos's National Provider Identifier (NPI) is 1790408904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Bolanos's specialty?
- Jennifer Bolanos is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jennifer Bolanos located?
- Jennifer Bolanos's practice location on file with NPPES is 21201 Victory Blvd Ste 205, Canoga Park, CA 91303-4056.
- What is Jennifer Bolanos's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Bolanos is (888) 428-3223.
- Is Jennifer Bolanos's NPI active?
- Yes — Jennifer Bolanos's NPI (1790408904) is active in the NPPES registry as of the last update on 2022-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.