Individual provider Active NPI

Maura Caitlin Wamsley, BCBA

  • Behavior Analyst
  • Glenwood Springs, CO
National Provider Identifier
1740589522
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-6975 Issued in CO
Practice address
1309 Oak Way Ave
Glenwood Springs, CO 81601-4049
Phone
(720) 670-9046
NPI assigned
Mar 20, 2011
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-6975 CO Primary

Addresses

Primary practice location

1309 Oak Way Ave
Glenwood Springs, CO 81601-4049

Mailing address

1309 Oak Way Ave
Glenwood Springs, CO 81601-4049
Phone (720) 670-9046

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maura Stack Oden LLC Behavior Analyst CurrentSince Dec 6, 2020 Accepting new patients
Maura Stack Oden LLC CurrentSince Oct 13, 2019 Accepting new patients

Locations

10700 E Geddes Ave
Ste 125
Englewood, CO 80112
Phone (720) 670-9046

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1740589522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 OAK WAY AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014049",
            "telephone_number": "720-670-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 OAK WAY AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014049",
            "telephone_number": "720-670-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMSLEY",
        "first_name": "MAURA",
        "middle_name": "CAITLIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-10-6975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.