Active NPI
Balance ABA Therapy LLC
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1508690538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BALANCE ABA THERAPY LLC
- Practice address
- 4164 Austin Bluffs Pkwy
Ste 221
Colorado Springs, CO 80918 - Phone
- (719) 728-5881
- NPI assigned
- Aug 30, 2024
- Last updated
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darrell Jansen, MA, BCBA
- Title
- Bcba
- Phone
- (719) 728-5881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4164 Austin Bluffs Pkwy
Ste 221
Colorado Springs, CO 80918
Mailing address
4164 Austin Bluffs Pkwy Ste 221
Colorado Springs, CO 80918-2928
Phone (719) 728-5881
Other names 1
- Balance ABA Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Colorado Springs, CO
- NPI 1356903975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1508690538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4164 AUSTIN BLUFFS PKWY STE 221",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182928",
"telephone_number": "719-728-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4164 AUSTIN BLUFFS PKWY",
"address_2": "STE 221",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80918",
"telephone_number": "719-728-5881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE ABA THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "JANSEN",
"authorized_official_first_name": "DARRELL",
"authorized_official_title_or_position": "BCBA",
"authorized_official_telephone_number": "719-728-5881",
"authorized_official_credential": "MA, BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balance ABA Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.