Maggie J Tice

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38419 Issued in CO

Practice address

2500 Arapahoe Ave Ste 230
Boulder, CO 80302-6752

Phone

(720) 432-4326

NPI assigned

Nov 9, 2017

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maggie J Tice Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Rocky Mountain Applied Behavior Analysts, LLC

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1013483304
  NPD (past)

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1508379777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 N DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ARAPAHOE AVE STE 230",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026752",
            "telephone_number": "720-432-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1728 N Downing St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181008",
            "country_code": "US",
            "telephone_number": "303-377-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICE",
        "first_name": "MAGGIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-19-38419",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "TICE",
            "middle_name": "J",
            "credential": "BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thrive Psychotherapeutic Services LLC (Thrive)
• Thriveworks Clinical - Colorado PC (Thriveworks)
• Tessa Rose Thulien, LPC
• Jenelle Thurston, MA, LPCC
• Karina Maria Tibble, MA
• Lynn Renee Tidd
• Shelley Etke Tidd, MS, OTR/L
• Whitney Tidwell
• Carol W Tierney, PH.D.
• Isabelle Tierney, LMFT

• Behavior Analyst in Boulder, CO
• Providers in Boulder, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.