Gabrielle Boudsady

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69897 Issued in IL

Practice address

3001 Coffee Rd Ste 1
Modesto, CA 95355-1764

Phone

(855) 223-7123

NPI assigned

Sep 18, 2020

Last updated

Feb 5, 2026By 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

Other names 1

• Gabrielle Nitti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Roots Autism Solutions, LLC

  • Behavior Analyst
  • Buffalo Grove, IL
  • NPI 1447606942
  NPD

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1538775218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33568",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633568",
            "telephone_number": "855-223-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 COFFEE RD STE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551764",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDSADY",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-23-69897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "NITTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bailey Bostwick
• Bobby Gene Boswell, ATC
• Ani Bottorff
• Mark Lynn Boucher, LMFT
• Danielle Marie Bouchier, RN
• Jessica R Boulter
• Zarai Boults
• Alex Bounsana
• Shamerin Bourang, LCSW
• Briana Lauren Bourbon, PA

• Behavior Analyst in Modesto, CA
• Providers in Modesto, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.