Keegan Brodie Schulze, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37760 Issued in CO

Practice address

3155 Snow Trillium Way
Evergreen, CO 80439-9204

Phone

(720) 295-3790

NPI assigned

Dec 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seven Dimensions Behavioral Health, LLC

  • Behavior Analyst
  • Evergreen, CO
  • NPI 1114464187
  NPD (past)
• Seven Dimensions Behavioral Health, LLC

  • Behavior Analyst
  • Fort Collins, CO
  • NPI 1942918701
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1093353989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ZLATEN DR APT D303",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042015",
            "telephone_number": "970-629-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SNOW TRILLIUM WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399204",
            "telephone_number": "720-295-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "KEEGAN",
        "middle_name": "BRODIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-19-37760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabine Schaumberg, WHNP
• Caroline Schlais, DPT
• Rudolf Thomas Schmiedt I, MD
• Jennifer Schreiber, OTR/L
• Megan Schulte
• Melissa Schweitz, PT, DPT
• Carrie Rae Sclar, PA-C
• Randall F Sclar, PA
• Rebekah Noel Scott
• Gina-Marie Searle, D.D.S.

• Behavior Analyst in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.