Individual ProviderHailey BolinBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3180 Crow Canyon Pl Ste 255, San Ramon, CA 94583-1118(925) 201-5460PECOS EnrollmentBased on the most recent information from CMS, provider Hailey Bolin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1568278711Provider TypeIndividualFull NameBolin, HaileyGenderFemaleSole ProprietorYesEnumeration Date12/3/2024Last Updated2/14/2025Contact InformationPractice LocationPractice Address3180 Crow Canyon Pl Ste 255, San Ramon, CA 94583-1118Phone(925) 201-5460FaxUnlisted FaxMailing LocationMailing Address546a Presidio Blvd, San Francisco, CA 94129-1752PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer