Bethany Collaso

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9802 Nicholas St Ste 395
Omaha, NE 68114-2168

Phone

(732) 806-0091

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

Yes

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1336758002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS ST STE 395",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142168",
            "telephone_number": "732-806-0091",
            "fax_number": "701-575-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 NICHOLAS ST STE 395",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142168",
            "telephone_number": "732-806-0091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Main St S",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587013914",
            "country_code": "US",
            "telephone_number": "307-221-2937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLASO",
        "first_name": "BETHANY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Colin
• Darnell Colins
• Allison Colip
• Collaborative Care Associates PC
• William Patrick Collamer, PH D
• Taina Rosario Collazo, PHD, MSW
• Tito Jesus Collazo, LMSW
• Colleen a. Conoley, P.C.
• Amanda Collette
• Anne Collette, DPT

• Behavior Analyst in Omaha, NE
• Providers in Omaha, NE by specialty
• Behavior Analyst in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.