Individual provider Active NPI

Pamela Bartsch, BCBA

  • Behavior Analyst
  • Cortez, CO
National Provider Identifier
1508521600
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-54015 Issued in CO
Practice address
23 S Beech St # B102
Cortez, CO 81321-3751
Phone
(970) 946-1539
Fax
(719) 638-8115
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

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.

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
Autism Living Experience, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-54015 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

23 S Beech St # B102
Cortez, CO 81321-3751

Mailing address

23 S Beech St # B102
Cortez, CO 81321-3751
Phone (970) 946-1539

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2021.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1508521600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S BEECH ST # B102",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213751",
            "telephone_number": "970-946-1539",
            "fax_number": "719-638-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S BEECH ST # B102",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213751",
            "telephone_number": "970-946-1539",
            "fax_number": "719-638-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTSCH",
        "first_name": "PAMELA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-21-54015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.