Bailey Banwart
Individual provider Active NPI Behavior Technician · Commerce City, CO
NPI 1679142806 · NPPES record last updated Jun 22, 2021
Key facts
- NPI
- 1679142806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12303 E 104TH PL Unit 105
Commerce City, CO 80022-2098 - Phone
- (720) 617-1574
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
12303 E 104TH PL Unit 105
Commerce City, CO 80022-2098
Mailing address
5522 Lone Star Pkwy Ste 101
San Antonio, TX 78253-6719
Phone (210) 670-8028
Other providers in Commerce City, CO
- Aurora Comprehensive Community Mental Health Center
- Aurora Comprehensive Community Mental Health Center, Inc
- Graciela Avila
- Sara Baak
- Claudia Yanel Bagby
- Bardwell Healthcare, Inc.
- Casey Elizabeth Barnett
- Christopher Barrett
- Brianna Bartlett
- Denise Gerda Basch
All providers in Commerce City, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.