Aidan Coolidge, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

19201 E Valley View Pkwy Ste H
Independence, MO 64055-6913

Phone

(816) 474-3995

Fax

(816) 482-3802

NPI assigned

Oct 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1437756129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "281-826-3382",
            "fax_number": "425-491-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 E VALLEY VIEW PKWY STE H",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556913",
            "telephone_number": "816-474-3995",
            "fax_number": "816-482-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 S Fountain Dr",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617205",
            "country_code": "US",
            "telephone_number": "956-424-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLIDGE",
        "first_name": "AIDAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KS",
            "license": "RBT-20-127831",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate E Coniglio, ACNP-BC
• Myra Conner
• John J Connolly III, M.D.
• Consultants in Gastroenterology, PC
• Danielle Marie Cool, LCSW, LSCSW
• William T Cooper, CRNA
• Joy G. Copeland, M.ED., LPC
• Branden Thomas Corbello
• Core Health, LLC
• Core Home Health Agency LLC

• Behavior Analyst in Independence, MO
• Providers in Independence, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.