IndividualActive
Stephanie Bolden, BCBA
NPI 1639618895 · Behavior Analyst · Brandon, FL
Provider details
- NPI number
- 1639618895
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1140 Kyle Wood Ln
Brandon, FL 33511-4850
Phone: (813) 512-1153
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Additional practice locations (1)
- 5454 Lithia Pinecrest RdLithia, FL 33547-2853Phone: (813) 467-9280
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2020-07-16
- Certified
- 2020-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.