Lex Wayne Botkin
Behavior Analyst in Portage, MI. Individual provider (NPI-1).
NPI number1831680701
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1831680701
- Entity type
- Individual (NPI-1)
- Name
- Lex Wayne Botkin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2018
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 7401001541 | IL | Yes |
Practice location
1617 E Milham Ave Ste BPortage, MI 49002-3049
Phone 269-389-9102
Mailing address
1617 E Milham Ave Ste BPortage, MI 49002-3049
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 58 Behavior Analyst providers in Portage · All 1,955 providers in Portage
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