Michelle Bozeman, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5101 Dunlea CT Ste 201C
Wilmington, NC 28405-4436

Phone

(910) 899-6064

Fax

(910) 390-6627

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Breakthrough Autism Solutions, PLLC

  • Behavior Analyst
  • Wilmington, NC
  • NPI 1619564648
  NPD
• Hanson Psychological

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1770238560
  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1649877382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 BRAXTON CT APT 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121201",
            "telephone_number": "910-262-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 DUNLEA CT STE 201C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054436",
            "telephone_number": "910-899-6064",
            "fax_number": "910-390-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZEMAN",
        "first_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather M Boykin, N.P.
• John Boyle, MD
• Abigail Glynn Boyles
• Bozart Family Dentistry
• Albert T Bozart, DDS
• Abigail Elizabeth Braa, MSW, LCSWA
• Ryan Allen Brabrand, LCAS-A
• Paige Bracey, LCSWA
• Shannon Bracken
• Jeremy Justin Bradford, PT, DPT

• Behavior Analyst in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Analyst in North Carolina

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