Active NPI
Robert Lee Squire III
- Behavior Technician
- Denver, CO
National Provider Identifier
1720587702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3425 Blake St
Denver, CO 80205 - Phone
- (720) 419-2196
- NPI assigned
- Feb 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3425 Blake St
Denver, CO 80205
Mailing address
3425 Blake St
Denver, CO 80205-2406
Phone (720) 419-2196
Other practice location 1
2121 s blackhawk Suite 100
Aurora, CO 80014
Phone (303) 632-4100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1720587702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 BLAKE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802052406",
"telephone_number": "720-419-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 BLAKE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "80205",
"telephone_number": "720-419-2196"
}
],
"practiceLocations": [
{
"address_1": "2121 s blackhawk Suite 100",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "80014",
"country_code": "US",
"telephone_number": "303-632-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SQUIRE",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-06",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.