Active NPI
Sydney Fulton
- Behavior Technician
- Centennial, CO
National Provider Identifier
1245841972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-131156
- Practice address
- 6874 S Ulster Cir
Centennial, CO 80112-1364 - Phone
- (541) 761-6230
- NPI assigned
- Aug 14, 2020
- 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-20-131156 | Primary |
Addresses
Primary practice location
6874 S Ulster Cir
Centennial, CO 80112-1364
Mailing address
542 Pear St
Pueblo, CO 81005-1533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-131156 | Other | BACB |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.ogbehavior.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1245841972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 PEAR ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810051533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6874 S ULSTER CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121364",
"telephone_number": "541-761-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-131156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-20-131156",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.ogbehavior.com",
"affiliation": "N",
"address_1": "6874 S Ulster Cir",
"city": "Centennial",
"state": "CO",
"country_code": "US",
"postal_code": "801121364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.