Individual provider Active NPI

Mickyas Yohannes Tekele

  • Behavior Analyst
  • Aurora, CO
National Provider Identifier
1427652031
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
232 S Newark Cir
Aurora, CO 80012-1200
Phone
(720) 292-4319
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

232 S Newark Cir
Aurora, CO 80012-1200

Mailing address

232 S Newark Cir
Aurora, CO 80012-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TGtransportation

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1427652031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S NEWARK CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800121200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S NEWARK CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800121200",
            "telephone_number": "720-292-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKELE",
        "first_name": "MICKYAS",
        "middle_name": "YOHANNES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TGtransportation",
            "affiliation": "N",
            "address_1": "232 S Newark Cir",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800121200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 24, 2020; 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.