NPIMap

Organization Active NPI

Wild Sun Behavioral Services, LLC

  • Behavior Analyst
  • Erie, CO
National Provider Identifier
1790348258
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
WILD SUN BEHAVIORAL SERVICES, LLC
Practice address
685 Briggs St
Erie, CO 80516
Phone
(720) 787-4939
Fax
(720) 787-4192
NPI assigned
Apr 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Daniel M Kurty, BCBA
Title
Ceo
Phone
(720) 849-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

685 Briggs St
Erie, CO 80516

Mailing address

707 Starkey CT
Erie, CO 80516-7229
Phone (720) 849-2668

Other names 1

  • wild Sun Behavioral Services, LLC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wild Sun Behavioral Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1790348258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 STARKEY CT",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167229",
            "telephone_number": "720-849-2668",
            "fax_number": "720-787-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 BRIGGS ST",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "720-787-4939",
            "fax_number": "720-787-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD SUN BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "KURTY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-849-2668",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wild Sun Behavioral Services, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.