Organization Active NPI

Kokua Connect LLC

  • Behavior Analyst
  • Castle Rock, CO
National Provider Identifier
1063977494
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KOKUA CONNECT LLC
Practice address
2971 Skyward Way
Castle Rock, CO 80109-3686
Phone
(720) 440-0514
NPI assigned
Feb 11, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Allison Guzzo, BCBANPI 1326462029
Title
Behavior Analyst
Phone
(720) 440-0514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2971 Skyward Way
Castle Rock, CO 80109-3686

Mailing address

18695 Pony Express Dr Unit 3975
Parker, CO 80134-1662

Other identifiers 1

IdentifierTypeStateIssuer
9000171718MedicaidCO

National Provider Directory

National Provider Directory

Locations

18695 Pony Express Dr
Unit 3975
Parker, CO 80134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1063977494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18695 PONY EXPRESS DR UNIT 3975",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801341662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 SKYWARD WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093686",
            "telephone_number": "720-440-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKUA CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "GUZZO",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "720-440-0514",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000171718",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.