Organization Active NPI

By Your Side Colorado, LLC

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1013524297
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.