Individual provider Active NPI

Moisey Borukhov

  • Behavior Technician
  • Aurora, CO
National Provider Identifier
1417855404
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1580700
Practice address
10650 E Tennessee Ave Unit 511
Aurora, CO 80012-3028
Phone
(720) 347-0696
NPI assigned
Oct 29, 2026
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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 BACB1580700 Primary

Addresses

Primary practice location

10650 E Tennessee Ave Unit 511
Aurora, CO 80012-3028

Mailing address

10650 E Tennessee Ave Unit 511
Aurora, CO 80012-3028
Phone (720) 347-0696

Other names 1

  • Menashe Borukhov Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1417855404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 E TENNESSEE AVE UNIT 511",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123028",
            "telephone_number": "720-347-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 E TENNESSEE AVE UNIT 511",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123028",
            "telephone_number": "720-347-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUKHOV",
        "first_name": "MOISEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "BACB1580700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MENASHE",
            "last_name": "BORUKHOV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.