Individual provider Active NPI

Aimee L Massafra

  • Behavior Analyst
  • Northglenn, CO
National Provider Identifier
1609433325
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11830824 Issued in CO
Practice address
11698 Huron St Ste 106
Northglenn, CO 80234-2920
Phone
(720) 381-0264
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11830824 CO Primary

Addresses

Primary practice location

11698 Huron St Ste 106
Northglenn, CO 80234-2920

Mailing address

11698 Huron St Ste 106
Northglenn, CO 80234-2920
Phone (720) 381-0264

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

State licenses

LicenseStateTypeSpecialty
11830824COMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Trumpet Behavioral Health, LLC Behavior Analyst Past 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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1609433325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11698 HURON ST STE 106",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342920",
            "telephone_number": "720-381-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11698 HURON ST STE 106",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342920",
            "telephone_number": "720-381-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAFRA",
        "first_name": "AIMEE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "11830824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.