BOLD BUDDIES LLC
NPI 1205670601
Behavior Analyst in Fredericksburg, VA

Active since June 20, 2024
1320 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401(732) 338-9887 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Jun 20, 2024 (2 updates tracked since 2024).

About Bold Buddies Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLD BUDDIES LLC (NPI 1205670601) is a healthcare organization registered as a behavior analyst in Fredericksburg, Virginia and active in the NPI registry since June 2024. The organization lists Ephraim Gross, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205670601
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBOLD BUDDIES LLC
Location Address1320 CENTRAL PARK BLVDFredericksburg, VA 22401-4942
Mailing Address3 Ashford RdJackson, NJ 08527-1701
Organization SubpartNo
Authorized OfficialEphraim GrossBusiness Manager · (732) 338-9887
Enumeration DateJune 20, 2024
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1205670601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1320 CENTRAL PARK BLVD, Fredericksburg, VA 22401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1320 CENTRAL PARK BLVD, #405
FREDERICKSBURG, VA 22401
Social Worker (Clinical)
1320 CENTRAL PARK BLVD
FREDERICKSBURG, VA 22401
Massage Therapist
1320 CENTRAL PARK BLVD, STE 211
FREDERICKSBURG, VA 22401
Nurse Practitioner (Psychiatric/Mental Health)
1320 CENTRAL PARK BLVD
FREDERICKSBURG, VA 22401
Internal Medicine
1320 CENTRAL PARK BLVD
FREDERICKSBURG, VA 22401
Pathology (Clinical Laboratory Director, Non-physician)
1320 CENTRAL PARK BLVD
FREDERICKSBURG, VA 22401
Counselor (Professional)
1320 CENTRAL PARK BLVD
FREDERICKSBURG, VA 22401
Pain Medicine (Interventional Pain Medicine)
1320 CENTRAL PARK BLVD, SUITE 405
FREDERICKSBURG, VA 22401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bold Buddies LLC's NPI number?

The NPI number for Bold Buddies LLC is 1205670601. It was assigned to this organization in the NPPES registry on June 20, 2024.

Where is Bold Buddies LLC located?

Bold Buddies LLC is located at 1320 Central Park Blvd, Fredericksburg, VA 22401. The listed phone number is (732) 338-9887.

What is Bold Buddies LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Bold Buddies LLC was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.