Individual provider Active NPI

Geniveve Tang, BCBA

  • Behavior Analyst
  • Superior, CO
National Provider Identifier
1487209771
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44410 Issued in CO
Practice address
500 Discovery Pkwy Ste 100
Superior, CO 80027-8637
Phone
(720) 647-8541
Fax
(972) 378-4747
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-20-44410 CO Primary

Addresses

Primary practice location

500 Discovery Pkwy Ste 100
Superior, CO 80027-8637

Mailing address

6105 Windcom CT Ste 400
Plano, TX 75093-9003
Phone (972) 312-8733

Other practice location 1

14 Garden Ctr
Broomfield, CO 80020-7314
Phone (818) 241-6780

Other practice location 2

340 E 1st Ave Ste 102
Broomfield, CO 80020-2454
Phone (818) 241-6780

Other practice location 3

6401 S Syracuse Way
Suite 250
Greenwood Village, CO 80111-4744
Phone (888) 428-3223

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
The Behavior Exchange Inc Behavior Analyst PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 1

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1487209771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 WINDCOM CT STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939003",
            "telephone_number": "972-312-8733",
            "fax_number": "972-378-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY PKWY STE 100",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278637",
            "telephone_number": "720-647-8541",
            "fax_number": "972-378-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Garden Ctr",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800207314",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 E 1st Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800202454",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 S Syracuse Way",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801114744",
            "country_code": "US",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "GENIVEVE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-20-44410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.