Prisca A Atongdem
Individual provider Active NPI Behavior Analyst · Aurora, CO
NPI 1295554574 · NPPES record last updated Oct 4, 2024
Key facts
- NPI
- 1295554574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2367 S Xanadu Way Apt 207
Aurora, CO 80014-2110 - Phone
- (203) 725-8421
- NPI assigned
- Oct 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
2367 S Xanadu Way Apt 207
Aurora, CO 80014-2110
Mailing address
2367 S Xanadu Way Apt 207
Aurora, CO 80014-2110
Phone (203) 725-8421
Other names
- Portia Atongdem
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 Oct 4, 2024. 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.