NPIMap

Organization Active NPI

Integrity ABA, LLC

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1093252264
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11417186 Issued in CO
Legal business name
INTEGRITY ABA, LLC
Practice address
4840 Ranch Dr
Colorado Springs, CO 80918-4148
Phone
(626) 736-3434
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Breanna Shanea Eggehorn, MA, BCBANPI 1619265709
Title
Owner
Phone
(626) 736-3434

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 11417186 CO Primary

Addresses

Primary practice location

4840 Ranch Dr
Colorado Springs, CO 80918-4148

Mailing address

4840 Ranch Dr
Colorado Springs, CO 80918-4148
Phone (626) 736-3434

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1093252264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 RANCH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184148",
            "telephone_number": "626-736-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 RANCH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184148",
            "telephone_number": "626-736-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "EGGEHORN",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "SHANEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-736-3434",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "11417186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.