Individual provider Active NPI

Kim Wendollyn Yadira Montano Zeledon

  • Behavior Analyst
  • Westminster, CO
National Provider Identifier
1447745583
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-52922 Issued in CO
Practice address
12213 Pecos St Ste 200
Westminster, CO 80234-3414
Phone
(720) 459-7493
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-52922 CO Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

12213 Pecos St Ste 200
Westminster, CO 80234-3414

Mailing address

1031 E 91St Ave
Thornton, CO 80229-7707
Phone (720) 454-9828

Other practice location 1

11698 Huron St Unit 106
Northglenn, CO 80234-2950
Phone (720) 381-0264

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trumpet Behavioral Health, LLC Behavior Analyst Past Accepting new patients
Action Behavior Centers, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1447745583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E 91ST AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802297707",
            "telephone_number": "720-454-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12213 PECOS ST STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343414",
            "telephone_number": "720-459-7493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11698 Huron St Unit 106",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802342950",
            "country_code": "US",
            "telephone_number": "720-381-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANO ZELEDON",
        "first_name": "KIM",
        "middle_name": "WENDOLLYN YADIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-21-52922",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.