Blue Skies Behavioral Group LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUE SKIES BEHAVIORAL GROUP LLC

Practice address

10 Farmers Lane
Unit 5
Breckenridge, CO 80424

Phone

(847) 977-5559

NPI assigned

Aug 8, 2021

Organization subpart

No

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

Authorized official

Name

Kyle Kahnweiler, BCBANPI 1245803832

Title

Director

Phone

(847) 977-5559

Specialties & licenses 3

Addresses

Tax ID family

Blue Skies Behavioral Group2 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.

• Blue Skies Behavioral Group LLC

  • Behavior Analyst
  • Fairplay, CO
  • NPI 1356135297
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Kahnweiler, BCBA

  • Behavior Analyst
  • Breckenridge, CO
  • NPI 1245803832
  NPD Authorized official

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1194499558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7694",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804247694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FARMERS LANE",
            "address_2": "UNIT 5",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "847-977-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Club House Rd",
            "address_purpose": "LOCATION",
            "city": "Breckenridge",
            "state": "CO",
            "postal_code": "804245326",
            "country_code": "US",
            "telephone_number": "847-977-5559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Club House Rd",
            "address_purpose": "LOCATION",
            "city": "Breckenridge",
            "state": "CO",
            "postal_code": "804245326",
            "country_code": "US",
            "telephone_number": "847-977-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE SKIES BEHAVIORAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-08",
        "last_updated": "2022-01-28",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "KAHNWEILER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-977-5559",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bela Contreras
• Serenity J Bell
• Allyson Biordi, CCC-SLP
• Abigail Blacklock, M.A., L.P.C.
• Ernestine Tina Blake, LMT
• Joshua Williams Boudar, DC
• Breckenridge Acupuncture LLC
• Breckenridge Family Dental PLLC
• Breckenridge Medical Clinic, LLC
• Breckenridge Physical Therapy

• Behavior Analyst in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.