Active NPI
Miranda Foley, BCBA
- Behavior Analyst
- Denver, CO
National Provider Identifier
1043667348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11417404
- Practice address
- 2695 S Jersey St
Denver, CO 80222-6321 - Phone
- (303) 759-1192
- Fax
- (303) 759-1194
- NPI assigned
- May 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11417404 | CO | Primary |
Addresses
Primary practice location
2695 S Jersey St
Denver, CO 80222-6321
Mailing address
2695 S Jersey St
Denver, CO 80222-6321
Phone (303) 759-1192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-17404 | Other | CO | BCBA LICENSE |
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 |
|---|---|---|---|
| 11417404 | CO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Vista Center for Autism | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Lakewood, CO
- NPI 1619144953
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1043667348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 S JERSEY ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802226321",
"telephone_number": "303-759-1192",
"fax_number": "303-759-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 S JERSEY ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802226321",
"telephone_number": "303-759-1192",
"fax_number": "303-759-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "MIRANDA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "11417404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA LICENSE",
"identifier": "1-14-17404",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.