Active NPI
By Your Side Colorado, LLC
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1013524297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BY YOUR SIDE COLORADO, LLC
- Practice address
- 8415 Explorer Dr Ste 130
Colorado Springs, CO 80920-1034 - Phone
- (630) 590-5571
- Fax
- (630) 326-7175
- NPI assigned
- Sep 30, 2020
- Organization subpart
- Yes
- Parent organization
- BY YOUR SIDE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Kozicki
- Title
- Sr Manager-Billing
- Phone
- (630) 590-5571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
8415 Explorer Dr Ste 130
Colorado Springs, CO 80920-1034
Mailing address
8201 Cass Ave
Darien, IL 60561-5314
Phone (630) 590-5571
National Provider Directory
National Provider Directory- Part of
- By Your Side LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612396800000",
"number": "1013524297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 CASS AVE",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615314",
"telephone_number": "630-590-5571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 EXPLORER DR STE 130",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201034",
"telephone_number": "630-590-5571",
"fax_number": "630-326-7175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BY YOUR SIDE COLORADO, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BY YOUR SIDE, LLC",
"enumeration_date": "2020-09-30",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A",
"authorized_official_last_name": "KOZICKI",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "SR MANAGER-BILLING",
"authorized_official_telephone_number": "630-590-5571"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.