Christie-Lee Rebecca Van Damme

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

22-216513 Issued in CO

Practice address

13725 Struthers Rd Ste 200
Colorado Springs, CO 80921-2488

Phone

(719) 301-5100

NPI assigned

May 17, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1700523198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 STRUTHERS RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 STRUTHERS RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212488",
            "telephone_number": "719-301-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAMME",
        "first_name": "CHRISTIE-LEE",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "22-216513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790211605",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Lauren Van Acker
• Halei Van Auken
• Bernard August Van Batum, PT
• Susan Van Bemden
• Hannah Van Dam
• Brianna Lynne Van de Casteele, LAT, ATC
• Adam Presley Van Dinter
• Jill Van Dinter, LCSW
• Max Van Dinter
• Rebecca Sue Van Hook, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.