Active NPI
Balanced Family Behavioral Services
- Community/Behavioral Health Agency
- Thornton, CO
National Provider Identifier
1174867477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BALANCED FAMILY BEHAVIORAL SERVICES
- Practice address
- 2603 E 137TH Ave
Thornton, CO 80602-7237 - Phone
- (303) 570-0233
- NPI assigned
- Nov 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaime Nicole Clark, BCBA
- Title
- Behavioral Therapist
- Phone
- (303) 570-0233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2603 E 137TH Ave
Thornton, CO 80602-7237
Mailing address
2603 E 137TH Ave
Thornton, CO 80602-7237
Phone (303) 570-0233
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Northglenn, CO
- NPI 1063855815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353974400000",
"number": "1174867477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 E 137TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027237",
"telephone_number": "303-570-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 E 137TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "806027237",
"telephone_number": "303-570-0233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED FAMILY BEHAVIORAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-27",
"last_updated": "2012-11-27",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "JAIME",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "BEHAVIORAL THERAPIST",
"authorized_official_telephone_number": "303-570-0233",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.