Active NPI
Anthony Baldassari, BCBA
- Behavior Analyst
- Englewood, CO
National Provider Identifier
1083172373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 10700 E Geddes Ave Ste 125
Englewood, CO 80112 - Phone
- (720) 797-6155
- Fax
- (720) 294-0543
- NPI assigned
- Mar 6, 2019
- Last updated
- Nov 29, 2024
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
10700 E Geddes Ave Ste 125
Englewood, CO 80112
Mailing address
10700 E Geddes Ave Ste 125
Englewood, CO 80112
Phone (720) 797-6155
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maura Stack Oden LLC | Behavior Analyst | Current | Accepting new patients |
Locations
10700 E Geddes Ave
Ste 125
Englewood, CO 80112
Phone (720) 670-9046
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1083172373",
"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": "80112",
"telephone_number": "720-797-6155",
"fax_number": "720-294-0543"
},
{
"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": "80112",
"telephone_number": "720-797-6155",
"fax_number": "720-294-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDASSARI",
"first_name": "ANTHONY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-06",
"last_updated": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.