Provider Demographics
NPI:1538882956
Name:BOLTON, HILLARY JANE TESTA (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:JANE TESTA
Last Name:BOLTON
Suffix:
Gender:
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 PORTO BIANCO LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2371
Mailing Address - Country:US
Mailing Address - Phone:864-697-8679
Mailing Address - Fax:346-275-2385
Practice Address - Street 1:2703 PORTO BIANCO LN
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2371
Practice Address - Country:US
Practice Address - Phone:864-697-8679
Practice Address - Fax:346-275-2385
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6445103K00000X
TX4948103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst