Individual provider Active NPI

Ryan Olivia Horneman, BCBA

  • Behavior Analyst
  • Englewood, CO
National Provider Identifier
1295409977
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
10700 E Geddes Ave Ste 125
Englewood, CO 80112
Phone
(720) 797-6155
Fax
(720) 294-0543
NPI assigned
Aug 5, 2021
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

10700 E Geddes Ave Ste 125
Englewood, CO 80112

Mailing address

10700 E Geddes Ave Ste 125
Englewood, CO 80112
Phone (720) 797-6155

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maura Stack Oden LLC Behavior Analyst CurrentSince Aug 1, 2021 Accepting new patients
Maura Stack Oden LLC PastSince Aug 1, 2021 Accepting new patients

Locations

10700 E Geddes Ave
Ste 125
Englewood, CO 80112
Phone (720) 670-9046

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1295409977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE STE 125",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "720-797-6155",
            "fax_number": "720-294-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 E GEDDES AVE STE 125",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "720-797-6155",
            "fax_number": "720-294-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNEMAN",
        "first_name": "RYAN",
        "middle_name": "OLIVIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-01-21",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.