Aubrey Pelican

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-235767

Practice address

1495 Yarmouth Ave Ste B
Boulder, CO 80304-0673

Phone

(720) 771-0852

NPI assigned

Oct 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Optimum Guidance Behavior Consulting, LLC

  • Community/Behavioral Health Agency
  • Florence, CO
  • NPI 1215554753
  NPD
• Optimum Guidance Behavior Consulting, LLC

  • Home Health Agency
  • Louisville, CO
  • NPI 1811451693
  NPD

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1134845829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ADAMS ST APT 1406",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065727",
            "telephone_number": "720-755-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 YARMOUTH AVE STE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040673",
            "telephone_number": "720-771-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELICAN",
        "first_name": "AUBREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-235767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-22-235767",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ogbehavior.com",
            "affiliation": "N",
            "address_1": "1495 Yarmouth Ave Ste B",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803040673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Y Pecoraro
• Kerry A Peel
• Victoria M Peixoto
• Marjon Indra Pekelharing, LPN, PH.D.
• Orna Peleg, MSW
• Pelvic Therapy Specialists, PC
• Emily Pena, MA, JD, LPC-C
• Bianca Marie Penaylillo
• Pendant Health LLC
• Mark G Pendleton, PHD

• Behavior Technician in Boulder, CO
• Providers in Boulder, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.