STEPHANIE MONIQUE BOLDEN


Address: 3826 Park Ave # 2, Edison, NJ 08820-2565
Phone: 8482476235

STEPHANIE MONIQUE BOLDEN (NPI# 1124664727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124664727
Entity Type Individual
Full Name STEPHANIE MONIQUE BOLDEN
Practice Address 3826 Park Ave # 2
Edison
NJ 08820-2565
Mailing Address 3826 Park Ave Ste 102
Edison
NJ 08820-2565
Practice Telephone 8482476235
Mailing Telephone 8482476235
Enumeration Date 2019-11-19
Last Update Date 2019-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers STEPHANIE BOLDEN

NPI Name Taxonomy Address Enumeration
1639618895 Stephanie Danielle Bolden Behavioral Analyst 1140 Kyle Wood Ln, Brandon, FL 33511-4850 2017-02-20

Office Location

Street Address 3826 PARK AVE # 2
City EDISON
State NJ
Zip Code 08820-2565

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457964702 Time Line Diagnostic LLC Spec/Tech, Cardiovascular 25 Cinder Road Apt 3j, Edison, NJ 08820 2020-08-26
1376185504 Jason Chester Physical Therapist 72 Nj-27, Edison, NJ 08820 2019-10-09
1497237838 Pooja Kansagra Behavior Technician 3826 Park Ave Suite 102, Edison, NJ 08820 2018-09-01
1568941086 Thomas Dipaolo LLC Physical Therapist 3840 Park Ave # D108, Edison, NJ 08820 2018-08-07
1467939561 Aisha Musa Abdulkadir Student in an Organized Health Care Education/Training Program Jfk Family Practice, 65 James Street, Edison, NJ 08820 2018-07-23
1801380522 Edison Spine and Pain Management, P.C. Physical Medicine & Rehabilitation 1692 Oak Tree Road, Edison, NJ 08820 2018-06-16
1386136521 Chirag A Gandhi Physical Therapist 3830 Park Ave Ste 202, Edison, NJ 08820 2018-06-04
1770097446 Arthur Royzner Dentist 1 Lincoln Hwy Ste 6, Edison, NJ 08820 2017-11-16
1356850671 Nj Allergy & Asthma Care LLC Clinic/Center 26 Parker Rd, Edison, NJ 08820 2017-09-29
1790226223 Julianna Marie Zilli Specialist/Technologist 24 Woodrow Wilson Dr, Edison, NJ 08820 2017-03-16
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730662537 Anna Wardak Behavior Technician 3826 Park Ave Ste 102, Edison, NJ 08820-2565 2018-09-08
1497237838 Pooja Kansagra Behavior Technician 3826 Park Ave Suite 102, Edison, NJ 08820 2018-09-01
1073018925 Savannah G Robertson Behavior Technician 10 Parsonage Rd Ste 308, Edison, NJ 08837-2429 2018-03-23
1871001776 Keara Marie Reilly Behavior Technician 2177 Oak Tree Rd Ste 100, Edison, NJ 08820-1082 2018-01-14
1548796980 Christina Iacuzio Behavior Technician 10 Parsonage Rd, Suite 318, Edison, NJ 08837 2017-05-04
1114461431 Paul Grillo Behavior Technician 325 Pierson Ave, Edison, NJ 08837-3123 2016-12-05
1003416280 Moyanda Pierre Behavior Technician 10 Parsonage Rd, Edison, NJ 08837-2429 2020-10-28
1992321129 Morgan Leigh Wurster Behavior Technician 3826 Park Ave Ste 102, Edison, NJ 08820-2565 2020-06-23
1942839683 Siji J Devasia Behavior Technician 10 Parsonage Rd, Edison, NJ 08837-2429 2020-04-04
1225663156 Destiny C Ayler Behavior Technician 10 Parsonage Rd Ste 318, Edison, NJ 08837-2429 2020-03-11
Find all providers in EDISON

Competitor

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City EDISON
Zip Code 08820

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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