Individual provider Active NPI

Steven Radtke, MA, BCBA

  • Behavior Analyst
  • Northglenn, CO
National Provider Identifier
1306411483
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on May 21, 2021

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 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.

Verify at the official NPI Registry.