Azula Behavioral Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AZULA BEHAVIORAL CONSULTING, LLC

Practice address

278 Garfield Ave
Carbondale, CO 81623-2133

Phone

(805) 245-5561

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Brenda Rivera, BCBANPI 1336667435

Title

Clinical Director/ Owner

Phone

(805) 245-5561

Specialties & licenses 1

Addresses

Tax ID family

Azula Behavioral Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Azula Behavioral Consulting, LLC

  • Behavior Analyst
  • Rifle, CO
  • NPI 1891554168
  NPD tax ID

Practitioners 1

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

• Brenda Rivera

  • Behavior Analyst
  • Rifle, CO
  • NPI 1336667435
  NPD Authorized official

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1437708328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 GARFIELD AVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 GARFIELD AVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232133",
            "telephone_number": "805-245-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZULA BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "805-245-5561",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Carbondale, CO
• Providers in Carbondale, 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 4, 2019; 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.