Ayomide Suzan Bosede

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1421 Clarkview Rd
Baltimore, MD 21209

Phone

(844) 854-1116

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jun 26, 2023.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1891471728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DOUGLASS RD SUITE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "844-854-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 CLARKVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "844-854-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSEDE",
        "first_name": "AYOMIDE",
        "middle_name": "SUZAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Boscak, MD
• Boscovs Department Store LLC
• Prabir K Bose, MD
• Pratima Bose, M.D.
• Subhash Chandra M.C. Bose, MD
• Thangamadhan Bosemani, MBBS
• Yaa Bosi
• Jose A Bosio, BDS, MS
• Tiffany Ann Bosley Dillmore, LMFTA
• Jason Bosley-Smith, LDN, CNS

• All providers in Baltimore, MD
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.