Active NPI
Rebecca Joy McCormick
- Behavior Analyst
- Lafayette, CO
National Provider Identifier
1366924862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47133
- Practice address
- 1200 W South Boulder Rd Ste 204
Lafayette, CO 80026-2833 - Phone
- (720) 837-7193
- Fax
- (303) 554-5657
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-47133 | CO | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1200 W South Boulder Rd Ste 204
Lafayette, CO 80026-2833
Mailing address
1924 Ross CT Apt B
Fort Collins, CO 80526-6909
Other practice location 1
1613 Prospect Park Way Ste 110
Fort Collins, CO 80525-9707
Phone (970) 377-9401
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1366924862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 ROSS CT APT B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805266909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W SOUTH BOULDER RD STE 204",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262833",
"telephone_number": "720-837-7193",
"fax_number": "303-554-5657"
}
],
"practiceLocations": [
{
"address_1": "1613 Prospect Park Way Ste 110",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805259707",
"country_code": "US",
"telephone_number": "970-377-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "REBECCA",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-21-47133",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.