Stephanie Danielle Bolden, BCBA

NPI #1639618895 in Brandon, Florida

Provider Information

NPI Number: 1639618895
Entity Type: Individual
Name: Stephanie Danielle Bolden, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Feb 20, 2017
Last Updated: Jul 16, 2020

Practice Location

Address: 1140 KYLE WOOD LN
City: Brandon
State: Florida
ZIP Code: 33511-4850
Phone: (813) 512-1153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Prevention Professional	405300000X
Behavior Analyst	103K00000X	Primary

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