Active NPI
Adi Waissman-Saban, MA BCBA
- Behavior Analyst
- Aurora, CO
National Provider Identifier
1356874333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 17770106
- Practice address
- 10650 E Bethany Drive
Aurora, CO 80014 - Phone
- (800) 536-2340
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 17770106 | Primary |
Addresses
Primary practice location
10650 E Bethany Drive
Aurora, CO 80014
Mailing address
10650 E Bethany Drive
Aurora, CO 80014
Phone (800) 536-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17770106 | Medicaid | CO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Vista Center for Autism | Behavior Analyst | Past | 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.
-
- Early Intervention Provider Agency
- Lakewood, CO
- NPI 1619144953
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1356874333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10650 E BETHANY DRIVE",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "800-536-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 E BETHANY DRIVE",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "800-536-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAISSMAN-SABAN",
"first_name": "ADI",
"credential": "MA BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "17770106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17770106",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.