Patrick Holmbo, RBT – Behavior Technician

Key facts

NPI: 1306369632
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: RBT-17-29098 (CO)
Practice address: 7220 W Jefferson Ave Ste 202
Lakewood, CO 80235-2023
Phone: (303) 225-7673
NPI assigned: Jul 18, 2017
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

MPS Healthcare Inc Behavior Analyst · Lakewood, CO · NPI 1023683596

NPD (past) BEHAVIOR TECHNICIAN

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-17-29098	CO	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
MPS Healthcare Inc	Behavior Technician	Past since Jun 1, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-17-29098	CO	Yes

Addresses

Primary practice location

7220 W Jefferson Ave Ste 202
Lakewood, CO 80235-2023

Mailing address

388 Sorrel Dr
Windsor, CO 80550-6007
Phone (210) 317-4973

Other identifiers

Identifier	Type	State	Issuer
RBT-17-29098	Medicaid	CO

Other providers in Lakewood, CO

All providers in Lakewood, CO · Behavior Technician in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. 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.

Verify at the official NPI Registry.