NPIMap

Organization Active NPI

Keystone Behavioral Consultation LLC

  • Behavior Analyst
  • Montrose, CO
National Provider Identifier
1467237008
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KEYSTONE BEHAVIORAL CONSULTATION LLC
Practice address
1848 E. Main St.
Montrose, CO 81401
Phone
(970) 765-0550
Fax
(970) 363-8597
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Mallori Burnett, BCBANPI 1689165391
Title
Executive Director
Phone
(970) 765-5284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1848 E. Main St.
Montrose, CO 81401

Mailing address

12743 5875 Rd
Montrose, CO 81403-8393
Phone (970) 765-5284

Other practice location 1

12743 5875 Rd
Montrose, CO 81403-8393
Phone (970) 765-5284

National Provider Directory

National Provider Directory

Locations

1848 E Main St
Montrose, CO 81401
Phone (970) 765-0550

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1467237008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12743 5875 RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814038393",
            "telephone_number": "970-765-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 E. MAIN ST.",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-765-0550",
            "fax_number": "970-363-8597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12743 5875 Rd",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814038393",
            "country_code": "US",
            "telephone_number": "970-765-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE BEHAVIORAL CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "MALLORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-765-5284",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.