Active NPI
Maria Wilson, RBT
- Behavior Technician
- Florence, CO
National Provider Identifier
1417635673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-282123
- Practice address
- 215 N. Maple Avenue
Florence, CO 81226 - Phone
- (720) 400-4471
- NPI assigned
- Jul 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-282123 | Primary |
Addresses
Primary practice location
215 N. Maple Avenue
Florence, CO 81226
Mailing address
2 Adams St Apt 1406
Denver, CO 80206-5727
Phone (720) 755-2207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-23-282123 | Other | BACB |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Guidance Behavior Consulting, LLC | Current | Accepting new patients | |
| Optimum Guidance Behavior Consulting, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Florence, CO
- NPI 1215554753
-
- Home Health Agency
- Louisville, CO
- NPI 1811451693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1417635673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ADAMS ST APT 1406",
"city": "DENVER",
"state": "CO",
"postal_code": "802065727",
"telephone_number": "720-755-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N. MAPLE AVENUE",
"city": "FLORENCE",
"state": "CO",
"postal_code": "81226",
"telephone_number": "720-400-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARIA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-23-282123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-23-282123",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.