Active NPI
Kim Wendollyn Yadira Montano Zeledon
- Behavior Analyst
- Westminster, CO
National Provider Identifier
1447745583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Behavior Analyst
- Wheat Ridge, CO
- NPI 1801517982
-
- Behavior Analyst
- Northglenn, CO
- NPI 1396243739
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.