Damieon Boswell
Individual provider Active NPI Behavior Technician · Kansas City, KS
NPI 1376432922 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1376432922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-448914 (KS)
- Practice address
- 3020 S 7TH St
Kansas City, KS 66103-2602 - Phone
- (913) 258-5322
- NPI assigned
- Jun 30, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-448914 | KS | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creating Connections Therapy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-448914 | KS | Yes |
Addresses
Primary practice location
3020 S 7TH St
Kansas City, KS 66103-2602
Mailing address
3965 W 83Rd St Ste 157
Prairie Village, KS 66208-5308
Phone (913) 258-5322
Other providers in Kansas City, KS
- Steven William Bormann
- Sydney L Bormann
- Wendi Kay Born
- Stacey R Bosch
- Madisen Boskind
- Christopher Bouton
- Morgan Rae Bowden
- Marvin Bowens Sr.
- Diana Cochran Bowman
- Laurie L Bowman
All providers in Kansas City, KS · Behavior Technician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.