Molly Leigh Boldt, BT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BOLDTML991KM Issued in WA

Practice address

4101 SE 192ND Ave # 101
Vancouver, WA 98683-1471

Phone

(360) 605-1881

NPI assigned

Mar 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Theology

State licenses

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1336899780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1526",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986060047",
            "telephone_number": "360-624-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 SE 192ND AVE # 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831471",
            "telephone_number": "360-605-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "MOLLY",
        "middle_name": "LEIGH",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "BOLDTML991KM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4101 SE 192nd Ave # 101",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986831471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol L Boire, LMT
• Syed Amin Bokhari, MD
• Mackenzie M Bolden, M.S.
• Mashayla Marie Bolds
• Jessica Boldt, MSW
• Ziru Bolen, CCC-SLP
• Parris Boles
• Sheri Boles, OTRL
• Shawn W Boley, LICSW
• Beth Boling, LMP

• Behavior Technician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.