Individual provider Active NPI

Angela Westback, RBT-17-37744

  • Behavior Technician
  • Parker, CO
National Provider Identifier
1265922793
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
17-37744 Issued in CO
Practice address
8391 Blackgum St
Parker, CO 80134-8702
Phone
(303) 594-3931
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 17-37744 CO Primary

Addresses

Primary practice location

8391 Blackgum St
Parker, CO 80134-8702

Mailing address

8391 Blackgum St
Parker, CO 80134-8702
Phone (303) 594-3931

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

LicenseStateTypeSpecialty
17-37744COMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1265922793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 BLACKGUM ST",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348702",
            "telephone_number": "303-594-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 BLACKGUM ST",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348702",
            "telephone_number": "303-594-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBACK",
        "first_name": "ANGELA",
        "credential": "RBT-17-37744",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "17-37744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.