Bolden, Stephanie Danielle

Bolden, Stephanie Danielle is an sole proprietor health care provider with primary practice located at 1140 Kyle Wood Ln , Brandon FL 33511-4850. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Bolden, Stephanie Danielle can be contacted via phone (813) 512-1153.

Contact Information

Primary practice address
1140 Kyle Wood Ln Brandon FL 33511-4850
Phone: (813) 512-1153
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Other Service Providers / Prevention Professional 405300000X 172V00000X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Florida

Profile Details

NPI number 1639618895
LBN Legal business name Bolden, Stephanie Danielle
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2017
Last updated Jul 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639618895 NPPES
Florida Other 172V00000X OTHER PROVIDER COMMUNITY HEALTH CARE WORKER

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