| NPI | 1639618895 |
|---|---|
| Professional Name | STEPHANIE D. BOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 405300000X Prevention Professional (Licence: FL 172V00000X) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2020-07-16 |