Aneta Maria Prusak

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3155 Snow Trillium Way
Evergreen, CO 80439-9204

Phone

(720) 295-3790

Fax

(877) 400-4480

NPI assigned

Jun 26, 2018

Last updated

Oct 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seven Dimensions Behavioral Health, LLC

  • Behavior Analyst
  • Evergreen, CO
  • NPI 1114464187
  NPD (past)
• Seven Dimensions Behavioral Health, LLC

  • Behavior Analyst
  • Fort Collins, CO
  • NPI 1942918701
  NPD (past)
• Trumpet Behavioral Health, LLC

  • Behavior Analyst
  • Northglenn, CO
  • NPI 1396243739
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1629563358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 EVERETT CT",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333143",
            "telephone_number": "312-478-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SNOW TRILLIUM WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399204",
            "telephone_number": "720-295-3790",
            "fax_number": "877-400-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSAK",
        "first_name": "ANETA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Jeanette Priebe, PH.D
• Primary Care Consultants, Inc
• Promising Pathways, LLC (Promising Pathways Therapy)
• Wendy Rose Pronschinske, NONE
• Mary Elizabeth Pruet, CCC-SLP
• Purple Mountain Integrated Healing Arts
• Kamela Qirjo, MA, LPCC
• Brett Quinn
• Tana Victoria Quintana-Price, LPC
• Monica M Rabanal, NP

• Behavior Technician in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.