What is Jacquelyn Bolden's NPI number?

Jacquelyn Bolden's National Provider Identifier (NPI) is 1790439420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacquelyn Bolden's specialty?

Jacquelyn Bolden is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jacquelyn Bolden located?

Jacquelyn Bolden's practice location on file with NPPES is 1149 W 190th St Ste 2200, Gardena, CA 90248-4344.

What is Jacquelyn Bolden's phone number?

The practice phone number listed in the NPPES registry for Jacquelyn Bolden is (310) 856-0800.

Is Jacquelyn Bolden's NPI active?

Yes — Jacquelyn Bolden's NPI (1790439420) is active in the NPPES registry as of the last update on 2022-02-15.

IndividualActive

Jacquelyn Bolden

NPI 1790439420 · Behavior Technician · Gardena, CA

Jacquelyn Bolden is a Behavior Technician provider in Gardena, CA (NPI 1790439420).

Provider details

NPI number: 1790439420
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

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

1149 W 190th St Ste 2200

Gardena, CA 90248-4344

Phone: (310) 856-0800

Fax: (855) 568-2494

Street-level locationGet directions

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Mailing address