Kristie Allan, BCBA
Individual provider Active NPI Behavior Analyst · Aurora, CO
NPI 1265940076 · NPPES record last updated Feb 5, 2019
Key facts
- NPI
- 1265940076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-18-34015 (CO)
- Practice address
- 2121 S Blackhawk St Ste 100
Aurora, CO 80014-1488 - Phone
- (720) 545-0768
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-2831-32386 | CO | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-2831-32386 | CO | |
| Behavior Analyst | 103K00000X | 1-18-34015 | CO | Yes |
Addresses
Primary practice location
2121 S Blackhawk St Ste 100
Aurora, CO 80014-1488
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.