Individual provider Active NPI

Aubry Karis

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1134721194
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-73214
Practice address
685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326
Phone
(940) 368-7105
NPI assigned
Nov 13, 2020
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-73214 Primary

Addresses

Primary practice location

685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326

Mailing address

685 Citadel Dr E Ste 345
Colorado Springs, CO 80909-5326
Phone (940) 368-7105

Other identifiers 1

IdentifierTypeStateIssuer
RBT-20-127888OtherCOBACB

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

OrganizationSpecialtyStatusNew patients
Peak Potential Behavior & Wellness LLC Behavior Analyst CurrentSince Jun 27, 2021 Accepting new patients

Locations

5350 N Academy Blvd
Ste 101
Colorado Springs, CO 80918
Phone (719) 321-4497

685 Citadel Dr E
Ste 345
Colorado Springs, CO 80909
Phone (940) 363-7105

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/980/brand/1/csg/1/fhir/r4

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1134721194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 345",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095326",
            "telephone_number": "940-368-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 345",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095326",
            "telephone_number": "940-368-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIS",
        "first_name": "AUBRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-24-73214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-20-127888",
            "state": "CO"
        }
    ],
    "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 Jun 5, 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.

Verify at the official NPI Registry.