Active NPI
Steven Radtke, MA, BCBA
- Behavior Analyst
- Northglenn, CO
National Provider Identifier
1306411483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1797 E 113TH PL # 80233
Northglenn, CO 80233-3225 - Phone
- (570) 814-7090
- NPI assigned
- May 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1797 E 113TH PL # 80233
Northglenn, CO 80233-3225
Mailing address
1797 E 113TH PL
Denver Co 80233-3225
Northglenn, CO 80233
Phone (570) 814-7090
Other practice location 1
685 Briggs St
Erie, CO 80516-5022
Phone (720) 849-2668
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1306411483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 E 113TH PL",
"address_2": "DENVER CO 80233-3225",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "80233",
"telephone_number": "570-814-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 E 113TH PL # 80233",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802333225",
"telephone_number": "570-814-7090"
}
],
"practiceLocations": [
{
"address_1": "685 Briggs St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "CO",
"postal_code": "805165022",
"country_code": "US",
"telephone_number": "720-849-2668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADTKE",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.