Active NPI
Satchel Hannibal Pratt, M.S.
- Behavior Technician
- Aurora, CO
National Provider Identifier
1831882141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12631 E 17TH Ave
Aurora, CO 80045-2527 - Phone
- (303) 724-9700
- NPI assigned
- Jun 1, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
12631 E 17TH Ave
Aurora, CO 80045-2527
Mailing address
1309 E 1St PL
Mesa, AZ 85203-8921
Phone (310) 876-9512
Other names 1
- Scott Andrew Bruce
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1831882141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 E 1ST PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852038921",
"telephone_number": "310-876-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527",
"telephone_number": "303-724-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "SATCHEL",
"middle_name": "HANNIBAL",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SCOTT",
"last_name": "BRUCE",
"middle_name": "ANDREW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.