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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639618895 | Stephanie Danielle Bolden | Behavioral Analyst | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2017-02-20 |
Street Address |
3826 PARK AVE # 2 |
City | EDISON |
State | NJ |
Zip Code | 08820-2565 |
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 |
Find all providers in zip 08820 |
Taxonomy Code | 106S00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavior Technician |
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] |
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 |
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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.