Kimberly Ann Bohrer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-30572 Issued in ID

Practice address

1755 Telstar Dr Ste 300
Colorado Springs, CO 80920-1019

Phone

(877) 264-6747

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1417463928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 89TH ST STE 306",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151656",
            "telephone_number": "877-264-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 TELSTAR DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201019",
            "telephone_number": "877-264-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12053 W Hickory Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83713",
            "country_code": "US",
            "telephone_number": "208-608-1925 x20860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-17-39249",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ID",
            "license": "1-18-30572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bogyah
• Christy Bohannon, MA, LPC
• Kathleen Sue Bohanon, MD
• Jennifer Ann Bohle, MS, LPC
• Krista Bohlen, MP.T.
• Melissa Anne Boihem, MA, LPC
• Megan Nicole Boire, RN
• Christine Anne Boisse, O.D.
• Ana Bojorquez, RBT
• Tyrell Bolden

• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.