Active NPI
Michael Crise
- Behavior Technician
- Pueblo, CO
National Provider Identifier
1437797339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-108454
- Practice address
- 900 W Abriendo Ave Apt 4D
Pueblo, CO 81004-1137 - Phone
- (515) 689-5614
- NPI assigned
- Dec 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-108454 | Primary |
Addresses
Primary practice location
900 W Abriendo Ave Apt 4D
Pueblo, CO 81004-1137
Mailing address
900 W Abriendo Ave Apt 4D
Pueblo, CO 81004-1137
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": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1437797339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W ABRIENDO AVE APT 4D",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W ABRIENDO AVE APT 4D",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041137",
"telephone_number": "515-689-5614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISE",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-11",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-19-108454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.