Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639618895 Individual Practitioner Female Practitioner

Stephanie Danielle Bolden , BCBA

Behavior Analyst • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Stephanie Bolden, BCBA is a registered healthcare professional specializing in Behavior Analyst in Brandon, FL. Practice services are available at 1140 KYLE WOOD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1140 Kyle Wood Ln

Brandon, FL 335114850

Telephone 8135121153
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1700396769

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
87 Specialists

Practicing in Brandon, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Prevention Professional

NUCC Taxonomy Code: 405300000X

State License FL 172V00000X

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Other Provider Community Health Care Worker
172V00000X (FL)

Secondary Practice Locations

5454 Lithia Pinecrest Rd

Lithia, FL 335472853

Phone: 8134679280

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Luis Rivera

Behavior Technician

NPI 1003324633
Rebecca Banilover

Behavior Technician

NPI 1003693110
Jacinta Hill

Behavior Technician

NPI 1013425750
Cynthia Kennedy

Behavior Analyst

NPI 1023475613
Kristen Conlan

Behavior Technician

NPI 1023584760
Stacey Centeio

Behavior Technician

NPI 1033753488

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location July 16, 2020

Registered at 1140 KYLE WOOD LN, BRANDON, FL 335114850 (Tel: 8135121153)

👤
Provider Name / Credentials Updated July 16, 2020

Recorded as STEPHANIE BOLDEN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2020

Behavior Analyst

📍
Updated Practice Location July 21, 2019

Registered at 5454 LITHIA PINECREST RD, LITHIA, FL 335472853 (Tel: 8134679280)

📍
Updated Business Mailing Address July 21, 2019

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 8135121153)

👤
Provider Name / Credentials Updated July 21, 2019

Recorded as STEPHANIE BOLDEN, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2019

Prevention Professional (License #172V00000X in FL)

📍
Updated Business Mailing Address June 19, 2019

Registered at 2303 EAGLE BLUFF DR, VALRICO, FL 335967270 (Tel: 8135121153)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2019

Assistant Behavior Analyst

NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2017

Registered at 2303 EAGLE BLUFF DR, VALRICO, FL 335967270 (Tel: 8133174662)

📍
Updated Business Mailing Address February 20, 2017

Registered at PO BOX 2397, VALRICO, FL 335952397 (Tel: 8133174662)

👤
Provider Name / Credentials Updated February 20, 2017

Recorded as STEPHANIE BOLDEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Prevention Professional (License #172V00000X in FL)

🟢
Initial NPI Registration & Enumeration February 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639618895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2017
Last Update: July 16, 2020
Sole Proprietor: Yes

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 8135121153

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.