Active NPI
Susan F Tolibas, RBT
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1144736661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 15-00503
- Practice address
- 14182 Petrel Dr
Colorado Springs, CO 80921-2464 - Phone
- (719) 310-3870
- NPI assigned
- Dec 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 15-00503 | CO | Primary |
Addresses
Primary practice location
14182 Petrel Dr
Colorado Springs, CO 80921-2464
Mailing address
89 Paloma HTS Apt 107
Colorado Springs, CO 80921-3258
Phone (719) 291-0100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00503 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1144736661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 PALOMA HTS APT 107",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213258",
"telephone_number": "719-291-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14182 PETREL DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212464",
"telephone_number": "719-310-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLIBAS",
"first_name": "SUSAN",
"middle_name": "F",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "15-00503",
"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 Dec 19, 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.