Individual provider Active NPI

Amanda Jo Wellendorf, M.S, BCBA

  • Behavior Analyst
  • Fort Collins, CO
National Provider Identifier
1811742653
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-72500 Issued in NE
Practice address
2519 S Shields St Ste 1K
Box 567
Fort Collins, CO 80526-1855
Phone
(970) 541-0794
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-72500 NE Primary

Addresses

Primary practice location

2519 S Shields St Ste 1K
Box 567
Fort Collins, CO 80526-1855

Mailing address

2519 S Shields St Ste 1K
Box 567
Fort Collins, CO 80526-1855
Phone (970) 541-0794

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Dynamics LLC Behavior Analyst Current Accepting new patients
Behavior Services of the Rockies Behavior Analyst PastSince Apr 1, 2024 Accepting new patients

Locations

2519 S Shields St
Ste 1K
Fort Collins, CO 80526
Phone (970) 541-0794

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1811742653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST STE 1K",
            "address_2": "BOX 567",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-541-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST STE 1K",
            "address_2": "BOX 567",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-541-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLENDORF",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "M.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "1-24-72500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.