NPIMap

Organization Active NPI

Maura Stack Oden LLC

  • Behavior Analyst
  • Englewood, CO
National Provider Identifier
1063016038
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAURA STACK ODEN LLC
Practice address
10700 E Geddes Ave Ste 125
Englewood, CO 80112-4564
Phone
(720) 670-9046
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Maura Caitlin Wamsley, MA BCBANPI 1740589522
Title
Ceo
Phone
(970) 355-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

10700 E Geddes Ave Ste 125
Englewood, CO 80112-4564

Mailing address

10700 E Geddes Ave Ste 125
Englewood, CO 80112-4564
Phone (720) 670-9046

Other practice location 1

1317 Grand Ave Ste 101
Glenwood Springs, CO 81601-3841
Phone (720) 670-9046

Other identifiers 1

IdentifierTypeStateIssuer
1194186148MedicaidCO

Other names 1

  • ABA Services of Colorado Doing business as

National Provider Directory

National Provider Directory
Tax ID family
ABA Services of Colorado2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10700 E Geddes Ave
Ste 125
Englewood, CO 80112
Phone (720) 670-9046

1317 Grand Ave
Ste 101
Glenwood Springs, CO 81601
Phone (607) 759-6428

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1063016038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE STE 125",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124564",
            "telephone_number": "720-670-9046",
            "fax_number": "720-294-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE STE 125",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124564",
            "telephone_number": "720-670-9046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Grand Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816013841",
            "country_code": "US",
            "telephone_number": "720-670-9046",
            "fax_number": "720-294-0543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAURA STACK ODEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "WAMSLEY",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "CAITLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-355-5137",
        "authorized_official_credential": "MA BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194186148",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Services of Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA Services of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.