Skylar Bolla, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31477 Issued in GA

Practice address

613 Stephenson Ave Ste 206
Savannah, GA 31405

Phone

(912) 349-2479

NPI assigned

Nov 12, 2016

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1184166845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "615-695-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 STEPHENSON AVE STE 206",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-349-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Red Cedar St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299108967",
            "country_code": "US",
            "telephone_number": "843-757-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254 Red Cedar St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299108967",
            "country_code": "US",
            "telephone_number": "843-757-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2624 Hough Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301747",
            "country_code": "US",
            "telephone_number": "256-275-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLA",
        "first_name": "SKYLAR",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-12",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-18-31477",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Boland, M.D.
• Ryan Franklin Boland, M.D.
• Sidney Jefferson Bolch III, M.D.
• Boles Global Telepsychiatry
• Shaheedah Boles
• David Matthew Bond, DDS
• Denean Bonds, MSW
• Jania Bonds
• Ellen Weinberg Boney, MD
• Joyce Jumni Bongang, LPC, NCC, CCMHC

• Behavior Analyst in Savannah, GA
• Providers in Savannah, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.