Organization Active NPI

Kids Club ABA Co

  • Behavior Analyst
  • Denver, CO
National Provider Identifier
1114800356
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDS CLUB ABA CO
Practice address
1560 Broadway FL 16
Denver, CO 80202-6000
Phone
(404) 458-0809
Fax
(404) 834-5607
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Mo Bobker
Title
Ceo
Phone
(404) 458-0809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1560 Broadway FL 16
Denver, CO 80202-6000

Mailing address

17 Newport Dr
Nanuet, NY 10954-3111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1114800356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NEWPORT DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543111",
            "fax_number": "404-834-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BROADWAY FL 16",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026000",
            "telephone_number": "404-458-0809",
            "fax_number": "404-834-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CLUB ABA CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "BOBKER",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-458-0809"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.