Joel Bosserman, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17613 Issued in CA

Practice address

2214 21St St
Sacramento, CA 95818-1710

Phone

(916) 623-5325

NPI assigned

Jan 10, 2017

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

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 and National Provider Directory roles.

• Entropy Behavior Services, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1073063897
  NPD Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1629514922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 C ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 21ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181710",
            "telephone_number": "916-623-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSERMAN",
        "first_name": "JOEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-17613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaycie Leann Boss
• Christiana Rebecca Bosscher
• Aubrey Anne Bosserman
• Christina Wiper Bosserman, MD
• Dustin Thomas Bosserman, BT
• Chaprill Bostick
• Marisa N Boston, PHARMD
• Dean Michael Boswell, DO
• Kristiana Boswell, M.A
• Elretha Bosworth, LPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.