Luke Gerosin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

921 S Orchard St Ste G
Boise, ID 83705-1992

Phone

(888) 392-8642

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By the provider in NPPES

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

Electronic endpoints 1

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1598479776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 N AMBERCREEK AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467021",
            "telephone_number": "208-761-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S ORCHARD ST STE G",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051992",
            "telephone_number": "888-392-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROSIN",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://centralreach.com/",
            "affiliation": "N",
            "endpointDescription": "Central Reach ABA Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "921 S Orchard St Ste G",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837051992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Rebecca Gerlach, BS PSYCH
• Ninon Marie Germain Collet, M.D.
• Frank Alan Germano, M.D.
• Gregory Germano
• Katherine Dawn Gerosin-Shaffer, CPM, LM
• Winslow Gregory Gerrish, PHD
• Jillian J Gerrity, MD
• Eliza Minculescu Gertlar
• Amber Gerulf, PT, DPT
• Joshua M Gerving, PHARMD

• Behavior Technician in Boise, ID
• Providers in Boise, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.