Organization Active NPI

Pink Skies Autism LLC

  • Behavior Analyst
  • Parker, CO
National Provider Identifier
1295546471
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PINK SKIES AUTISM LLC
Practice address
11715 Crow Hill Dr
Parker, CO 80134-7121
Phone
(682) 367-3391
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Kendall DeckerNPI 1154979490
Title
Ceo
Phone
(682) 367-3391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

11715 Crow Hill Dr
Parker, CO 80134-7121

Mailing address

6312 S Fiddlers Green Cir Ste 300E
Greenwood Village, CO 80111-4831

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1295546471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 S FIDDLERS GREEN CIR STE 300E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 CROW HILL DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347121",
            "telephone_number": "682-367-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK SKIES AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-367-3391"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Jan 16, 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.