Individual provider Active NPI

Kandace Ellen-Marie Little, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1336671940
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-25681
Practice address
421 Cooper Ave
Colorado Springs, CO 80905-1120
Phone
(254) 338-1158
NPI assigned
Apr 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 1-17-25681 Primary

Addresses

Primary practice location

421 Cooper Ave
Colorado Springs, CO 80905-1120

Mailing address

421 Cooper Ave
Colorado Springs, CO 80905-1120
Phone (254) 338-1158

Other practice location 1

4760 Oakland St
Denver, CO 80239
Phone (702) 376-1688

Other practice location 2

72 W Broadway Ste 214
Eugene, OR 97401
Phone (720) 452-0335

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imago Behavioral Consulting CurrentSince Jan 10, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1336671940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COOPER AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051120",
            "telephone_number": "254-338-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COOPER AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051120",
            "telephone_number": "254-338-1158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 Oakland St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80239",
            "country_code": "US",
            "telephone_number": "702-376-1688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 W Broadway Ste 214",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "720-452-0335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "KANDACE",
        "middle_name": "ELLEN-MARIE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-25681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.