Active NPI
Izabella Khodik
- Behavior Technician
- Northglenn, CO
National Provider Identifier
1154981363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10190 Bannock St Ste 120
Northglenn, CO 80260-6052 - Phone
- (303) 237-6865
- NPI assigned
- Jun 19, 2019
- 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 | Primary |
Addresses
Primary practice location
10190 Bannock St Ste 120
Northglenn, CO 80260-6052
Mailing address
14331 E Tennessee Ave Unit 108
Aurora, CO 80012-3906
Phone (720) 800-1694
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1154981363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14331 E TENNESSEE AVE UNIT 108",
"city": "AURORA",
"state": "CO",
"postal_code": "800123906",
"telephone_number": "720-800-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10190 BANNOCK ST STE 120",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802606052",
"telephone_number": "303-237-6865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHODIK",
"first_name": "IZABELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2022-12-07",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.