Individual provider Active NPI

Olivia Sanders

  • Behavior Analyst
  • Fort Collins, CO
National Provider Identifier
1407249352
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1613 Prospect Park Way Ste 110
Fort Collins, CO 80525
Phone
(970) 377-9401
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1613 Prospect Park Way Ste 110
Fort Collins, CO 80525

Mailing address

1613 Prospect Park Way Ste 110
Fort Collins, CO 80525-9707
Phone (970) 377-9401

Other practice location 1

2218 Mahan Dr
Tallahassee, FL 32308-6127
Phone (850) 264-1355

Other practice location 2

1613 Prospect Park Way Ste 110
Fort Collins, CO 80525
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

OrganizationSpecialtyStatusNew patients
Cayer Behavioral Group, Inc Behavior Analyst Past Accepting new patients
Cayer Behavioral Group Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1407249352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 PROSPECT PARK WAY STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259707",
            "telephone_number": "970-377-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 PROSPECT PARK WAY STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-377-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2218 Mahan Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323086127",
            "country_code": "US",
            "telephone_number": "850-264-1355",
            "fax_number": "888-873-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 Prospect Park Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "80525",
            "country_code": "US",
            "telephone_number": "970-377-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.