Diane Andrew
Individual provider Active NPI Behavior Analyst · Elbert, CO
NPI 1750969671 · NPPES record last updated Mar 25, 2023
Key facts
- NPI
- 1750969671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 12655 Forest Green Dr
Elbert, CO 80106-8928 - Phone
- (678) 602-6023
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Fox ABA | Behavior Analyst | Current |
Accepting new patients |
| Step-in Autism Services of Alaska, L.L.C. | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
12655 Forest Green Dr
Elbert, CO 80106-8928
Mailing address
12655 Forest Green Dr
Elbert, CO 80106-8928
Phone (678) 602-6023
Other providers in Elbert, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.