Active NPI
Damiana Elyzabeth Colley
- Behavior Technician
- Washington, DC
National Provider Identifier
1194586230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-319776
- Practice address
- 600 Pennsylvania Ave SE Unit 15707
Washington, DC 20003-7529 - Phone
- (443) 880-0800
- NPI assigned
- Jan 16, 2024
- 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 | RBT-24-319776 | MD | Primary |
Addresses
Primary practice location
600 Pennsylvania Ave SE Unit 15707
Washington, DC 20003-7529
Mailing address
191 Intrepid LN
Berlin, MD 21811-2777
Phone (443) 880-0800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-319776 | MD | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1194586230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 INTREPID LN",
"city": "BERLIN",
"state": "MD",
"postal_code": "218112777",
"telephone_number": "443-880-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PENNSYLVANIA AVE SE UNIT 15707",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200037529",
"telephone_number": "443-880-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLEY",
"first_name": "DAMIANA",
"middle_name": "ELYZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "RBT-24-319776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.