Jessica Marie Bostwick-Walker

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4000 W Michigan Ave
Lansing, MI 48917-2856

Phone

(517) 624-2395

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jessica Marie Bostwick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• ABA Pathways, LLC

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1770838468
  NPD (past)
• Enhanced Behavioral Respite Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Saginaw, MI
  • NPI 1619503356
  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1255762811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "LAKELAND",
            "state": "MI",
            "postal_code": "481430663",
            "telephone_number": "810-559-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172856",
            "telephone_number": "517-624-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTWICK-WALKER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "780038",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BOSTWICK",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "BHS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Bort
• Huiling Bortolin, FNP
• John Michael Borza, CRNA
• David Michael Bosak, O.D.
• Kathleen J Bosma, R.N.
• Marjorie T Bothwell Strickland
• Daniel Francis Bouchard, D.O.
• Angeline Marie Boughner, CHW
• Casey Danielle Bougie
• Samar Marie Boulos, D.O.

• Behavior Technician in Lansing, MI
• Providers in Lansing, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.