Candice Fawn Altis, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

265 S Harlan St
Lakewood, CO 80226-2261

Phone

(720) 272-1289

NPI assigned

Apr 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1801477880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CEDAR AVE",
            "city": "AKRON",
            "state": "CO",
            "postal_code": "807201231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S HARLAN ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262261",
            "telephone_number": "720-272-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIS",
        "first_name": "CANDICE",
        "middle_name": "FAWN",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alta Vista Center for Autism (DBA Firefly Autism)
• Alta Vista Center for Autism (Firefly Autism)
• Alternacare of Colorado, LLC
• Alternative Health Styles
• Alterntaive Behaviors Counseling, Inc (A.B. Counseling, Inc.)
• John D Altman, MD
• Stephanie Louise Altman, LCSW
• Altmed of Colorado, PLLC (Alternative Physical Medicine of Colorado)
• Altmed of Colorado, PLLC
• Lindsay Alvarado

• Behavior Technician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.