Individual provider Active NPI

Cory Jess Malberg, MED, ABA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1407367238
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3803 Half Turn Rd
Colorado Springs, CO 80917-2449
Phone
(928) 304-5250
NPI assigned
Oct 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

3803 Half Turn Rd
Colorado Springs, CO 80917-2449

Mailing address

3803 Half Turn Rd
Colorado Springs, CO 80917-2449

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
Associate of Business Administration, Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1407367238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 HALF TURN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 HALF TURN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172449",
            "telephone_number": "928-304-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBERG",
        "first_name": "CORY",
        "middle_name": "JESS",
        "credential": "MED, ABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 19, 2017; 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.