Michelle Fazekas, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-46586 Issued in CO

Practice address

4284 Trail Boss Dr Ste 110
Castle Rock, CO 80104-7521

Phone

(406) 546-1108

NPI assigned

Oct 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1326558446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SPARROW HAWK DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296920",
            "telephone_number": "406-546-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 TRAIL BOSS DR STE 110",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047521",
            "telephone_number": "406-546-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZEKAS",
        "first_name": "MICHELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-46586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Fabrizio, MSW
• Family Together Alliance, LLC
• Lisa Farzad, FNP-C
• Andre Esson Faulk
• Scott E Faulkner, M.D.
• Adrienne Fecht, RBT
• Christine Nicole Feemster, MS, CCC-SLP
• Steven Ferradino, LPC
• Elena Fichera, MA CCC-SLP
• Gina Lynn Fick, PT, SCD

• Behavior Analyst in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.