Nathan Ahdout
Individual provider Active NPI Behavior Technician · Centennial, CO
NPI 1164073110 · NPPES record last updated Dec 17, 2019
Key facts
- NPI
- 1164073110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8008 E Arapahoe CT
Centennial, CO 80112-6839 - Phone
- (844) 247-7222
- NPI assigned
- Sep 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Home Support Services, Inc | Behavior Technician | Current |
Accepting new patients |
Locations
8008 E Arapahoe Ct
Centennial, CO 80112
Phone (847) 807-3917
5 Revere Dr
Ste 120
Northbrook, IL 60062
Phone (847) 807-3717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8008 E Arapahoe CT
Centennial, CO 80112-6839
Mailing address
5 Revere Dr Ste 120
Northbrook, IL 60062-8005
Other providers in Centennial, CO
- After the Call Counseling, PLLC
- Agape Living, LLC
- Alison Dawn Ager
- Melanie Aguilar
- Mary Aguilera
- Sasha Ahmed
- Nicole Ahrens
- Rosanne Grover Ainscough
- Jurak Ajdari
- Molly Akers
All providers in Centennial, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.