Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720447634 Individual Practitioner Female Practitioner

Gusty-Lee Boulware , PHD-BCBA-D

Behavior Analyst • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Gusty-Lee Boulware, PHD-BCBA-D is a registered healthcare professional specializing in Behavior Analyst in Seattle, WA. Practice services are available at 6239 WOODLAWN AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6239 Woodlawn Ave N

Seattle, WA 981035716

Telephone 2062714796
Fax 2067292660
Associated Practice Facility / Clinic
🏢 Craddock Optometry, Ps Facility NPI 1255634481

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
408 Specialists

Practicing in Seattle, WA (3007 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 Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License WA 1-02-0744

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba
1020744

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1184154916

Master of Education, Board Certified Behavior Analyst, Licensed Behavior Analyst

Dr. Karen Toth , PhD

Psychologist - Clinical Child & Adolescent

NPI 1730330499

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2016

Registered at 6239 WOODLAWN AVE N, SEATTLE, WA 981035716 (Tel: 2062714796)

📍
Updated Business Mailing Address February 19, 2016

Registered at 6239 WOODLAWN AVE N, SEATTLE, WA 981035716 (Tel: 2062714796)

👤
Provider Name / Credentials Updated February 19, 2016

Recorded as GUSTY-LEE BOULWARE, PHD-BCBA-D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2016

Behavior Analyst (License #1-02-0744 in WA)

🟢
Initial NPI Registration & Enumeration February 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Gusty-Lee Boulware. Be the first to share your experience!

Sign in to leave a review for Gusty-Lee Boulware

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720447634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2016
Last Update: February 19, 2016
Sole Proprietor: Yes

Mailing Address

6239 Woodlawn Ave N

Seattle, WA 981035716

Phone: 2062714796

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.