Mebe Colorado, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MEBE COLORADO, LLC

Practice address

8310 S Valley Hwy Ste 300
Englewood, CO 80112-5815

Phone

(619) 795-9925

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Esteban GonzalezNPI 1285072843

Title

Contract and Credentialing

Phone

(619) 323-0832

Specialties & licenses 5

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esteban Elias Gonzalez, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1285072843
  NPD Authorized official
• Abigail Ryan Bunt, BCBA

  • Behavior Analyst
  • San Diego, CA
  • NPI 1205171972
  NPD (past)
• Elizabeth Jordan, MA, BCBA

  • Behavior Analyst
  • San Diego, CA
  • NPI 1538556535
  NPD (past)

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1346881984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081669",
            "telephone_number": "619-564-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 S VALLEY HWY STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125815",
            "telephone_number": "619-795-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEBE COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_title_or_position": "CONTRACT AND CREDENTIALING",
        "authorized_official_telephone_number": "619-323-0832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn McPherson Mendes
• Julie Ann McTavish
• Caitlin McWhirt
• Nancy McWilliams
• Dana Meade, FNP
• Med-Trans Corporation
• Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT
• Medicine Hands of Colorado, Inc (Medicine Hands, Inc.)
• Mednow Clinics, Inc (MedNOW Pain Solutions)
• Mednow Clinics, Inc (MedNow- Englewood 3601)

• Behavior Analyst in Englewood, CO
• Providers in Englewood, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.