Samuel Oteto-Osusa

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1131 Plymouth Ave NE
Grand Rapids, MI 49505-5939

Phone

(616) 251-7069

NPI assigned

Feb 4, 2022

Sex

Male

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1245984756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495482355",
            "telephone_number": "616-512-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 PLYMOUTH AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055939",
            "telephone_number": "616-251-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTETO-OSUSA",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Dawn Ostrander, BSW
• Amanda Mae Ostrom, M.A., CCC-SLP
• John Alfred Ostrowski, D.D.S
• Stacey Kathleen Oswald, LLPC
• Abigail Grace Oswalt, MSW
• Noel Oteto, P.H.D., BCBA-D
• Maribeth Anne Otis, PA-C
• Michael Colin Ott, M.D.
• Natalie Jean Otte, PHD, LP
• Makayla Denae Otteman, PA-C

• Behavior Technician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.