P Praxis·MD
● Active Type 1 · Individual

Kendajah Bolden, RBT

Behavior Technician·Tucker, GA· NPI 1548851199 · Enumerated 2021 · 5 years on NPI
Bolden is 1 of 39 behavior technician providers in Tucker and 1 of 11766 in Georgia.
NPI age
5 years
Enumerated 2021-01-27
Primary specialty
Behavior Technician
Plus 1 subspecialty
Licensed in
MS
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11766 active behavior technician providers in Georgia.

NPI age
5 years
↑ 3 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-01Enumerated in NPPES
2021 2026

Where they practice

Practice location
5072 Lavista Rd
Tucker, GA 300843500
📞 7068425330fax 7068425340
Mailing address
3736 Executive Center Dr
Augusta, GA 309072360
📞 7068425330fax 7068425340

Specialties

  • Behavior Technician Primary
    The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state...
    MS license #RBT-21-153236 taxonomy 106S00000X

Practice context

Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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