Active NPI
Joshua Shulkin, RBT
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1144971979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-199313
- Practice address
- 245 S Academy Blvd
Colorado Springs, CO 80910-2713 - Phone
- (719) 325-6311
- NPI assigned
- Jan 13, 2022
- Sex
- Male
- 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 | RBT-22-199313 | CO | Primary |
Addresses
Primary practice location
245 S Academy Blvd
Colorado Springs, CO 80910-2713
Mailing address
104 W Old Broadmoor Rd
Colorado Springs, CO 80906-3336
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 |
|---|---|---|---|
| RBT-22-199313 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1144971979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W OLD BROADMOOR RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809102713",
"telephone_number": "719-325-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULKIN",
"first_name": "JOSHUA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-13",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-22-199313",
"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 Jan 13, 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.