Kenechukwu Bosah

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

203 S Washington Ave Ste 30
Saginaw, MI 48607-1217

Phone

(989) 209-3247

Fax

(989) 209-3246

NPI assigned

Oct 3, 2023

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.

• Flourish Services

  • Behavior Analyst
  • Saginaw, MI
  • NPI 1396424628
  NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1881474161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 MONIKIN CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031518",
            "telephone_number": "989-482-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WASHINGTON AVE STE 30",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486071217",
            "telephone_number": "989-209-3247",
            "fax_number": "989-209-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSAH",
        "first_name": "KENECHUKWU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett James Borgman
• Kerri Lynn Boros, MA, LPC,
• Kyle Boros, LLPC
• Kristen Borowitz, MASTERS OF ARTS
• Brooke Bos
• Morgan Bosgraaf
• Madison Mae Bosserdet
• Ella Marie Bost
• Jessica Bostick, BCBA
• Kirsten Bostwick

• Behavior Technician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.