NPI 1184166845 · live from the CMS NPI Registry
Skylar Bolla, BCBA
Behavior Analyst in Savannah, GA. National Provider Identifier 1184166845, active.
NPI record
| NPI | 1184166845 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 613 Stephenson Ave Ste 206, Savannah, GA 31405 |
| Practice phone | 912-349-2479 |
| Mailing address | 1321 Murfreesboro Pike Ste 702, Nashville, TN 37217 |
| Enumerated | November 12, 2016 |
| Last updated | June 18, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — (AL) |
| Behavior Analyst primary | 103K00000X | 1-18-31477 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.