Organization Active NPI

Colorado Springs Behavioral Services

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1609411958
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
COLORADO SPRINGS BEHAVIORAL SERVICES
Practice address
4330 Kincaid CT
Colorado Springs, CO 80906-4366
Phone
(269) 377-1647
NPI assigned
Nov 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Kristyn Blahnik, M.A., BCBANPI 1245606300
Title
Bcba
Phone
(269) 377-1647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4330 Kincaid CT
Colorado Springs, CO 80906-4366

Mailing address

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405

Other practice location 1

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405
Phone (719) 203-4723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1609411958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 BROADMOOR VALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 KINCAID CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064366",
            "telephone_number": "269-377-1647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2997 Broadmoor Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064405",
            "country_code": "US",
            "telephone_number": "719-203-4723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLORADO SPRINGS BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BLAHNIK",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "269-377-1647",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 8, 2022; 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.