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Contact Information

STEPHANIE D BOLDEN, BCBA
1140 KYLE WOOD LN
BRANDON, FL33511-4850
 Phone: 813-512-1153
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for STEPHANIE D BOLDEN · (Female)

NPI # 1639618895
Status Active
Credentials BCBA (Board Certified Behavior Analyst)
Entity Individual
Enumeration date 02/20/2017
Last updated 07/16/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 172V00000X
  • FL Other 172V00000X OTHER PROVIDER COMMUNITY HEALTH CARE WORKER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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