Lisa K Boster, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2016 Cedarhill Dr Apt C
None
Killeen, TX 76543-8997

Phone

(254) 598-8778

Fax

(151) 223-3264

NPI assigned

Jun 26, 2012

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1699039503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "address_2": "NONE",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786117027",
            "telephone_number": "254-598-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 CEDARHILL DR APT C",
            "address_2": "NONE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765438997",
            "telephone_number": "254-598-8778",
            "fax_number": "151-223-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTER",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandy Boudreaux
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• Cortenee Boulard, BCBCA
• David Bounds, APRN
• Joshua Taylor Bouse

• Behavior Analyst in Killeen, TX
• Providers in Killeen, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.