Individual provider Active NPI

Ryan Lawrence Beckelman, RBT

  • Behavior Technician
  • Colorado Springs, CO
National Provider Identifier
1407640154
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1190393 Issued in CO
Practice address
5526 N Academy Blvd Ste 109
Colorado Springs, CO 80918-3688
Phone
(719) 301-5100
NPI assigned
Apr 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1190393 CO Primary

Addresses

Primary practice location

5526 N Academy Blvd Ste 109
Colorado Springs, CO 80918-3688

Mailing address

1121 Austin Bluffs Pkwy Apt 333
Colorado Springs, CO 80918-3955
Phone (832) 627-8043

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

State licenses

LicenseStateTypeSpecialty
BACB1190393COMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1407640154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 AUSTIN BLUFFS PKWY APT 333",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183955",
            "telephone_number": "832-627-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 N ACADEMY BLVD STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183688",
            "telephone_number": "719-301-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKELMAN",
        "first_name": "RYAN",
        "middle_name": "LAWRENCE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "BACB1190393",
            "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 Apr 8, 2025; 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.