Active NPI
Hanna Goode
- Behavior Technician
- Boulder, CO
National Provider Identifier
1033653118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2500 Arapahoe Ave Ste 230
Boulder, CO 80302-6752 - Phone
- (877) 264-6747
- Fax
- (877) 539-7730
- NPI assigned
- Dec 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | RBT-16-21894 | CA | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2500 Arapahoe Ave Ste 230
Boulder, CO 80302-6752
Mailing address
2500 Arapahoe Ave Ste 230
Boulder, CO 80302-6752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-21894 | CA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1033653118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 ARAPAHOE AVE STE 230",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026752",
"fax_number": "877-539-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ARAPAHOE AVE STE 230",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026752",
"telephone_number": "877-264-6747",
"fax_number": "877-539-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "HANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2020-12-02",
"certification_date": "2020-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "RBT-16-21894",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.