{"npi":"1639618895","type":"NPI-1","status":"active","name":{"display":"Stephanie Bolden Bcba","other":[{"code":"2","type":"Professional name","value":"BOLDEN, STEPHANIE D."}],"first":"STEPHANIE","last":"BOLDEN","middle":"DANIELLE","credential":"BCBA"},"specialty":{"primary_taxonomy":"103K00000X","primary_taxonomy_description":"Behavior Analyst","slug":"behavior-analyst","schema_org_specialty":null,"all":[{"code":"106E00000X","description":"Assistant Behavior Analyst","primary":false,"state":null,"license":null},{"code":"405300000X","description":"Prevention Professional","primary":false,"state":"FL","license":"172V00000X"},{"code":"103K00000X","description":"Behavior Analyst","primary":true,"state":"FL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1140 KYLE WOOD LN","city":"BRANDON","state":"FL","postal_code":"335114850","country_code":"US","phone":"8135121153"},{"purpose":"MAILING","street_1":"300 INTERNATIONAL PKWY STE 200","city":"LAKE MARY","state":"FL","postal_code":"327465028","country_code":"US","phone":"8135121153"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"172V00000X","state":"FL","issuer":"OTHER PROVIDER COMMUNITY HEALTH CARE WORKER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-02-20","last_updated":"2020-07-16","_meta":{"source":"NPPES","snapshot_date":"2020-07-16","doc_url":"https://findmynpi.com/api"}}