Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gusty-Lee Boulware, PHD-BCBA-D

Individual provider Behavior Analyst · NPI 1720447634

Dr. Gusty-Lee Boulware, PHD-BCBA-D is a Behavior Analyst in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2016
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Practice location Address checks out

6239 Woodlawn Ave N
Seattle, WA 98103-5716
Phone: (206) 271-4796
Fax: (206) 729-2660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-02-0744 (WA)

Record details

NPI number1720447634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD-BCBA-D
Sole proprietorYes
NPI enumeratedFebruary 19, 2016
Last updated in NPPESFebruary 19, 2016

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