Active NPI
Brandie Ann Kretzschmar, BCBA
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1669912101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30034
- Practice address
- 1355 Garden of the Gods Road
Suite 150
Colorado Springs, CO 80907 - Phone
- (719) 212-6535
- NPI assigned
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 1-18-30034 | CO | Primary |
Addresses
Primary practice location
1355 Garden of the Gods Road
Suite 150
Colorado Springs, CO 80907
Mailing address
1355 Garden of the Gods Road
Suite 150
Colorado Springs, CO 80907
Phone (719) 212-6535
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mga Behavior Therapy LLC | Current | Accepting new patients | |
| Rand Speech Pathology LLC | Behavior Analyst | Past | Accepting new patients |
Locations
1355 Garden of the Gods Rd
Ste 150
Colorado Springs, CO 80907
Phone (719) 212-6535
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1780252858
-
- Behavior Analyst
- Decatur, GA
- NPI 1659440329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1669912101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 GARDEN OF THE GODS ROAD",
"address_2": "SUITE 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-212-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 GARDEN OF THE GODS ROAD",
"address_2": "SUITE 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-212-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRETZSCHMAR",
"first_name": "BRANDIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-18-30034",
"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 Mar 7, 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.