Provider Demographics
NPI:1205532025
Name:ROLON, JANE NICOLE
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:NICOLE
Last Name:ROLON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JANE
Other - Middle Name:NICOLE
Other - Last Name:SOLLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3575 COELEBS AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2704
Mailing Address - Country:US
Mailing Address - Phone:786-479-3054
Mailing Address - Fax:
Practice Address - Street 1:3520 OAKS WAY APT 904
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-5387
Practice Address - Country:US
Practice Address - Phone:305-807-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst