Bakanced Family Behavioral Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11211853 Issued in CO

Legal business name

BAKANCED FAMILY BEHAVIORAL SERVICES

Practice address

2603 E 137TH Ave
Thornton, CO 80602-7237

Phone

(303) 570-0233

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jaime Nicole Clark, BCBA

Title

Board Certified Behavior Anaylst

Phone

(303) 570-0233

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime Nicole Parks, BCBA

  • Behavior Analyst
  • Northglenn, CO
  • NPI 1063855815
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1689109076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 E 137TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027237",
            "telephone_number": "303-570-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 E 137TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027237",
            "telephone_number": "303-570-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKANCED FAMILY BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANAYLST",
        "authorized_official_telephone_number": "303-570-0233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "11211853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Badertscher, RDH
• Robert Baerncopf, MA
• Frederick Thomas Bailey IV, LCSW
• Mileta Bailey
• Rewa D Bailey, BA, CACII
• Garrett Richard Baker, DO
• James Donald Baker, MD
• Stephanie Baker
• Althea M Bakke-Lysaker, PHD
• Juan Agustin Balaguer

• Behavior Analyst in Thornton, CO
• Providers in Thornton, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.