Provider Information
Last Updated : Aug 14 2024 4:02 PM
Christopher Boldt
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Boldt |
First Name Christopher |
Address 7088 N Maple Ave Ste 105 |
State CA |
Zip Code 93720 |
Phone (855)295-3276 |
Hours Mon - Fri 8:00 AM - 5:00 PM Sat 8:00 AM - 3:00 PM |
Gender M |
Title BCBA |
Physician ID 229919 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1649636069 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID UNK52095 |
Email credentialing@pacificchild.com |
Board Certified No |
Self Access Flag Self Reported Data |
PHY CCT IND N |