Gwendelyn Grace Boisen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3100 NW Bucklin Hill Rd Ste 215
Silverdale, WA 98383-8363

Phone

(360) 337-2222

NPI assigned

Feb 11, 2025

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1205641727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 215",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838363",
            "telephone_number": "360-337-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 215",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838363",
            "telephone_number": "360-337-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISEN",
        "first_name": "GWENDELYN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Blue, M.S. SLP-CCC
• Teresa Boad Brooks, M.A.
• Audra Alexandra Boehm
• Isabella Rane Bogen
• Nancy J Bohannon, M.D.
• Richard E Bolton, IDC
• Janet McPherson Boltwood, LICSW
• Thayne Lyndon Bosh, DPT
• Bruce Richard Bosman, DO
• Kaylan Bossard

• Behavior Technician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.