Individual provider Active NPI

Sara Leovic, RBT

  • Behavior Technician
  • Highlands Ranch, CO
National Provider Identifier
1619437183
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT1977982 Issued in CO
Practice address
1714 Shea Center Dr Apt 201
Highlands Ranch, CO 80129-3525
Phone
(720) 391-9064
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT1977982 CO Primary

Addresses

Primary practice location

1714 Shea Center Dr Apt 201
Highlands Ranch, CO 80129-3525

Mailing address

1714 Shea Center Dr Apt 201
Highlands Ranch, CO 80129-3525
Phone (720) 391-9064

Other identifiers 1

IdentifierTypeStateIssuer
1164907770MedicaidCO

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
RBT1977982COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence Based Services, LLC 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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1619437183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 SHEA CENTER DR APT 201",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801293525",
            "telephone_number": "720-391-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SHEA CENTER DR APT 201",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801293525",
            "telephone_number": "720-391-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOVIC",
        "first_name": "SARA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT1977982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164907770",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.