Antonio Sabado-Wallace

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-25-465879 Issued in CO

Practice address

10172 Owl Perch Loop
Colorado SPGS, CO 80908-1718

Phone

(402) 699-5653

NPI assigned

Aug 25, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Star ABA LLC

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1164178240
  NPD

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1699653006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10172 OWL PERCH LOOP",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809081718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10172 OWL PERCH LOOP",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809081718",
            "telephone_number": "402-699-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABADO-WALLACE",
        "first_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-25-465879",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-25-465879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric O Ridings, M.D.
• Tiffany Roe
• James E Rollman, MD
• Maddelynn Olivia Roster
• Natellie Ryan
• Christopher R Sartori, M.D.
• Audrey Leigh Short, PT, DPT
• Skin Cancer and Dermatology Center of Colorado Springs, P.C.
• Erin Marie Slivka, DPT
• Austin Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.