Marissa Balaty
Individual provider Active NPI Behavior Technician · Colorado SPGS, CO
NPI 1083356802 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1083356802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2920 N Academy Blvd Ste 210
Colorado SPGS, CO 80917-5369 - Phone
- (719) 466-4809
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CO | Yes |
Addresses
Primary practice location
2920 N Academy Blvd Ste 210
Colorado SPGS, CO 80917-5369
Mailing address
2920 N Academy Blvd Ste 210
Colorado SPGS, CO 80917-5369
Phone (171) 946-6480
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marissa.balaty@coloradobehavior.com | Direct |
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All providers in Colorado SPGS, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.