Dustin Thomas Bosserman, BT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1050 Fulton Ave Ste 235
Sacramento, CA 95825-4299

Phone

(916) 974-2599

Fax

(855) 444-8901

NPI assigned

Feb 23, 2018

Sex

Male

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

Credentials

Bachelor of Theology

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1801397930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6073 THORNWOOD DR",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509544",
            "telephone_number": "916-289-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FULTON AVE STE 235",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254299",
            "telephone_number": "916-974-2599",
            "fax_number": "855-444-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSERMAN",
        "first_name": "DUSTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "BT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Roberto Bosque Jr., M.D.
• Kaycie Leann Boss
• Christiana Rebecca Bosscher
• Aubrey Anne Bosserman
• Christina Wiper Bosserman, MD
• Joel Bosserman, BCBA
• Chaprill Bostick
• Marisa N Boston, PHARMD
• Dean Michael Boswell, DO
• Kristiana Boswell, M.A

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.