Active NPI
Janis Prettitore
- Behavior Technician
- Denver, CO
National Provider Identifier
1780157354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB471991
- Practice address
- 3425 Blake Street
Denver, CO 80205 - Phone
- (720) 419-2187
- NPI assigned
- Jan 7, 2019
- Last updated
- Jan 7, 2019
- Sex
- Female
- 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 | BACB471991 | CO | Primary |
Addresses
Primary practice location
3425 Blake Street
Denver, CO 80205
Mailing address
738 S Gaylord St
Denver, CO 80209-4630
Phone (970) 316-1624
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB471991 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1780157354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 S GAYLORD ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802094630",
"telephone_number": "970-316-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 BLAKE STREET",
"city": "DENVER",
"state": "CO",
"postal_code": "80205",
"telephone_number": "720-419-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETTITORE",
"first_name": "JANIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "BACB471991",
"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 Jan 7, 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.