SKYLAR BOLLA (NPI# 1184166845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184166845 |
| Entity Type | Individual |
| Full Name | SKYLAR BOLLA |
| Credential | BCBA |
| Practice Address |
613 Stephenson Ave Ste 206 Savannah GA 31405 |
| Mailing Address |
1321 Murfreesboro Pike Ste 702 Nashville TN 37217-2679 |
| Practice Telephone | 9123492479 |
| Mailing Telephone | 6156952277 |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-31477 | GA | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | AL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 254 Red Cedar St Ste 11, Bluffton, SC 299108967 | 8437572121 | |
| 2624 Hough Rd, Florence, AL 356301747 | 2562757089 |
| Street Address |
613 STEPHENSON AVE STE 206 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841544350 | Lindsey Knopf | Behavioral Analyst | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2012-11-06 |
| 1457968810 | Torrie D Redwine | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-09-29 |
| 1659983450 | Haley N Simmons | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-21 |
| 1144831280 | Morgan L O'quinn | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-12 |
| 1932710266 | Faunia Ann Spradlin | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-11 |
| 1881204196 | Deuntae Scott | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-08-03 |
| 1154931509 | Ethel M Vicks | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-07-31 |
| 1790395184 | Dustin M Stipe | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-07-31 |
| 1558988287 | Samantha R Rogers | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-06-29 |
| 1265055982 | Jackquelyn Williams | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-05-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954725 | Grace Autism Services Inc | Behavioral Analyst | 5710 Ogeechee Rd Ste 200-251, Savannah, GA 31405-9515 | 2020-02-21 |
| 1619523446 | Hopebridge LLC | Behavioral Analyst | 5000 Business Center Dr Ste 500, Savannah, GA 31405-7423 | 2019-08-16 |
| 1104489327 | O K B U, LLC | Behavioral Analyst | 805 Fort Argyle Rd, Savannah, GA 31419-9243 | 2019-04-15 |
| 1275004269 | Megan Kolbe | Behavioral Analyst | 35 Dianne Mackenzie Way, Savannah, GA 31419-8114 | 2018-12-17 |
| 1285115543 | Nest Therapy Corp. | Behavioral Analyst | 7002 Hodgson Memorial Dr Ste 204d2, Savannah, GA 31406-1517 | 2018-08-24 |
| 1205343258 | Lindsey Bailey | Behavioral Analyst | 1119 E 33rd St, Savannah, GA 31404-2813 | 2017-12-29 |
| 1063947265 | April Leigh Butler | Behavioral Analyst | 47 Fiddlers Ct, Savannah, GA 31419-2960 | 2017-04-25 |
| 1306390851 | Maranda Porter | Behavioral Analyst | 130 Tibet Ave Apt 202, Savannah, GA 31406-9030 | 2016-08-12 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1720490071 | Utopia, Ga LLC | Behavioral Analyst | 54 Rio Rd, Savannah, GA 31419-2330 | 2014-05-21 |
| Find all providers in SAVANNAH | ||||
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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.