Organization Active NPI

Action Behavior Centers, LLC

  • Behavior Analyst
  • Wheat Ridge, CO
National Provider Identifier
1801517982
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACTION BEHAVIOR CENTERS, LLC
Practice address
4565 Kipling St
Wheat Ridge, CO 80033-2812
Phone
(512) 920-1030
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTION BEHAVIOR CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Samantha L Gomez
Title
Credentialing Manager
Phone
(512) 551-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

4565 Kipling St
Wheat Ridge, CO 80033-2812

Mailing address

1601 S Mopac Expy Ste C300
Austin, TX 78746-7009
Phone (512) 920-1030

National Provider Directory

National Provider Directory
Tax ID family
Action Behavior Centers LLC92 organizations share this tax ID, including this one
Part of
Action Behavior Centers LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1801517982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPY STE C300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467009",
            "telephone_number": "512-920-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 KIPLING ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332812",
            "telephone_number": "512-920-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION BEHAVIOR CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTION BEHAVIOR CENTERS, LLC",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-551-1717"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.