NPIMap

Organization Active NPI

Maura Stack Oden LLC

Doing business as ABA Services of Colorado

  • Community/Behavioral Health Agency
  • Glenwood Springs, CO
National Provider Identifier
1194186148
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAURA STACK ODEN LLC
Doing business as
ABA Services of Colorado
Practice address
1309 Oak Way Ave
Glenwood Springs, CO 81601-4049
Phone
(720) 670-9046
NPI assigned
Mar 17, 2016
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maura Wamsley, BCBANPI 1740589522
Title
Owner
Phone
(720) 670-9046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1309 Oak Way Ave
Glenwood Springs, CO 81601-4049

Mailing address

1309 Oak Way Ave
Glenwood Springs, CO 81601-4049

Other identifiers 1

IdentifierTypeStateIssuer
64185044MedicaidCO

Other names 1

  • ABA Services of Colorado Doing business as

National Provider Directory

National Provider Directory
Tax ID family
ABA Services of Colorado2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10700 E Geddes Ave
Ste 125
Englewood, CO 80112
Phone (720) 670-9046

1317 Grand Ave
Ste 101
Glenwood Springs, CO 81601
Phone (607) 759-6428

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1194186148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 OAK WAY AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 OAK WAY AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014049",
            "telephone_number": "720-670-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURA STACK ODEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "WAMSLEY",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-670-9046",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64185044",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA Services of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.