Active NPI
Malia K. K. Jenkins, RBT-17-34101
- Behavior Technician
- Centennial, CO
National Provider Identifier
1467989673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-34101
- Practice address
- 6767 S Spruce St Ste 100
Centennial, CO 80112-6118 - Phone
- (303) 505-9140
- NPI assigned
- May 18, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-34101 | CO | Primary |
Addresses
Primary practice location
6767 S Spruce St Ste 100
Centennial, CO 80112-6118
Mailing address
12684 E Kansas Dr Apt M106
Aurora, CO 80012-6335
Phone (303) 505-9140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-17-34101 | Other | CO | BACB |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-34101 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1467989673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12684 E KANSAS DR APT M106",
"city": "AURORA",
"state": "CO",
"postal_code": "800126335",
"telephone_number": "303-505-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 S SPRUCE ST STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801126118",
"telephone_number": "303-505-9140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MALIA",
"middle_name": "K. K.",
"credential": "RBT-17-34101",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-17-34101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-17-34101",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.