NPI 1023744166
Deonte' Bolden
Practice location
- Address
- 441 33rd St N APT 407, St Petersburg, FL 33713-9036
- Phone
- (269) 254-1212
- Mailing address
- 11901 4th St N APT 10207, St Petersburg, FL 33716-1740
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1023744166
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Jul 2022
- Record last updated
- 30 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.