Bold Steps ABA of Wa LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BOLD STEPS ABA OF WA LLC

Practice address

711 Capitol Way S Ste 204
Olympia, WA 98501-1267

Phone

(718) 686-8292

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Chaim Berger

Title

Ceo

Phone

(718) 686-8292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1477286284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CAPITOL WAY S STE 204",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CAPITOL WAY S STE 204",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011267",
            "telephone_number": "718-686-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD STEPS ABA OF WA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-686-8292"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Burke Boehmer, DPT
• Jacob Boese
• Padam Bogati, DPT
• Susannah Faye Bohannon, DMD
• Mary Achol Bol
• Rex Warren Bolin, MD
• Kylie Alaska Marie Boling
• Dacia Bolt
• Wendy Jean Bond-McAferty, RDH
• Renae Diane Bond, PT

• Behavior Analyst in Olympia, WA
• Providers in Olympia, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.