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Deactivated NPI 1225649775 Deactivated / Inactive NPI Female Practitioner

Holly Ann Bostick

Behavior Technician • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Holly Bostick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2020
NPI Deactivation Date June 28, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Holly Bostick was a registered Behavior Technician practicing in Boise, ID. Throughout an active medical career spanning 3 years, Holly Bostick provided care at the practice location at 12553 W EXPLORER DR STE 190 until profile deactivation on 2023-06-28.

Practice Location & Contact Primary Location

Practice Address

12553 W Explorer Dr Ste 190

Boise, ID 837131612

Telephone 2089725254
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
279 Specialists

Practicing in Boise, ID (1217 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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 (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Monica Virgen

Behavior Technician

NPI 1184230880
Darby Ottinger

Behavior Technician

NPI 1205452000
Brighton Bartschi

Behavior Technician

NPI 1215696935
Suzanne Wiley

Behavior Technician

NPI 1215881982
Mikayla Schachtell

Behavior Technician

NPI 1225776826
Ava Roble

Behavior Technician

NPI 1225982457

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 28, 2023

Record deactivated on June 28, 2023

NPI Profile Active August 10, 2020

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2020

Registered at 12553 W EXPLORER DR STE 190, BOISE, ID 837131612 (Tel: 2089725254)

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Updated Business Mailing Address August 10, 2020

Registered at 48 E CARLTON AVE, MERIDIAN, ID 836422365 (Tel: 2088806834)

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Provider Name / Credentials Updated August 10, 2020

Recorded as HOLLY BOSTICK

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2020

Behavior Technician

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Initial NPI Registration & Enumeration August 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225649775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2020
Last Update: August 10, 2020
Deactivation Date: June 28, 2023

Mailing Address

48 E Carlton Ave

Meridian, ID 836422365

Phone: 2088806834

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.