Vincent Ahmed Mahmoud, MS, BCBA, IBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30514 Issued in CO

Practice address

5304 Gannet LN
Pueblo, CO 81008-9719

Phone

(908) 420-7595

NPI assigned

Sep 21, 2019

Last updated

May 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conjure Services and Supports

  • In Home Supportive Care Agency
  • Pueblo, CO
  • NPI 1861284796
  NPD Authorized official
• Brett Dinovi & Associates

  • Behavior Analyst
  • Mount Laurel, NJ
  • NPI 1023328168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1023669090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 GANNET LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089719",
            "telephone_number": "908-420-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 GANNET LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810089719",
            "telephone_number": "908-420-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 E Cheyenne Mountain Blvd Ste C-372",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809061528",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 W John Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810071775",
            "country_code": "US",
            "telephone_number": "719-964-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOUD",
        "first_name": "VINCENT",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "MS, BCBA, IBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-18-30514",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-18-30514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Joy Maez, R.N.
• Magnolia Medical Aesthetics, PLLC (Pueblo Primary Care Clinic)
• Krishna Chandra Mahat, M.D.
• Faisal Mahfooz, MD
• Fernando Ariel Mahmoud, M.D.
• Kimberly A Mahoney
• Nicolle Mainthow
• Rachel Maksimowicz, ATC
• Victoria Mallon, MD
• Holly Maloy, M.D.

• Behavior Analyst in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.