NPIMap

Organization Active NPI

CBLG Residential Services

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1376273003
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CBLG RESIDENTIAL SERVICES
Practice address
1511 Swope Avenue
Colorado Springs, CO 80909-2846
Phone
(719) 466-4809
Fax
(719) 368-8399
NPI assigned
Jun 15, 2022
Organization subpart
Yes
Parent organization
ELIZABETH OSTENDORF, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Jacey Boman
Title
Compliance Coordinator
Phone
(719) 466-4809

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

1511 Swope Avenue
Colorado Springs, CO 80909-2846

Mailing address

2120 E la Salle Street
Colorado Springs, CO 80909-2218
Phone (719) 466-4809

Other names 1

  • Colorado Behavior and Learning Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@coloradobehavior.com Direct

National Provider Directory

National Provider Directory
Part of
Elizabeth Ostendorf LLC

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1376273003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E LA SALLE STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092218",
            "telephone_number": "719-466-4809",
            "fax_number": "719-368-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SWOPE AVENUE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092846",
            "telephone_number": "719-466-4809",
            "fax_number": "719-368-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBLG RESIDENTIAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIZABETH OSTENDORF, LLC",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "BOMAN",
        "authorized_official_first_name": "JACEY",
        "authorized_official_title_or_position": "COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "719-466-4809"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@coloradobehavior.com",
            "affiliation": "N",
            "endpointDescription": "direct provider email for health information communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1511 Swope Avenue",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809092846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Colorado Behavior and Learning Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Behavior and Learning Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 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.

Verify at the official NPI Registry.