Gusty-Lee Boulware, PHD-BCBA-D
NPI 1720447634ActiveIndividual· Behavior Analyst· Seattle, WA
Behavior Analyst (PHD-BCBA-D) in Seattle, Washington, licensed in WA, with an NPI issued in February 2016.
Overview
| NPI | 1720447634 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD-BCBA-D |
| Sole proprietor | Yes |
| NPI issued | Feb 19, 2016 |
| Last updated in NPPES | Feb 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-02-0744 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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