Organization Active NPI

Action Behavior Centers, LLC

  • Behavior Analyst
  • Brighton, CO
National Provider Identifier
1417700360
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACTION BEHAVIOR CENTERS, LLC
Practice address
2418 E Bridge St
Brighton, CO 80601-2546
Phone
(720) 230-1211
NPI assigned
Apr 10, 2024
Organization subpart
Yes
Parent organization
ACTION BEHAVIOR CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Samantha L Gomez
Title
Credentialing Manager
Phone
(512) 508-3941

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

2418 E Bridge St
Brighton, CO 80601-2546

Mailing address

1601 S Mopac Expy Ste C300
Austin, TX 78746-7077

National Provider Directory

National Provider Directory
Tax ID family
Action Behavior Centers LLC92 organizations share this tax ID, including this one
Part of
Action Behavior Centers LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1417700360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY STE C300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012546",
            "telephone_number": "720-230-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION BEHAVIOR CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTION BEHAVIOR CENTERS, LLC",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-508-3941"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.