Colorado ABA Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COLORADO ABA THERAPY

Practice address

8671 Wolff CT Ste 150
Westminster, CO 80031-3771

Phone

(303) 997-0305

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Breann Aleigh GonzalezNPI 1740507656

Title

Clinical Director

Phone

(303) 997-0305

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Breann Aleigh Gonzalez, MA

  • Behavior Analyst
  • Honolulu, HI
  • NPI 1740507656
  NPD Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1841948163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 WOLFF CT STE 150",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 WOLFF CT STE 150",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313771",
            "telephone_number": "303-997-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BREANN",
        "authorized_official_middle_name": "ALEIGH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-997-0305"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000172980",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000145075",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Coleman, BCBA
• Sur Rae Coleman, LPCC
• Elise Colley, LPC, ATR
• Mark Colloton, PA
• Eivi Colmenero-Chavez, RN
• Colorado Bilingual Speech Therapy, LLC
• Colorado Dental Orthodontist Practice, PLLC (Sage Orthodontics)
• Colorado Dental Professionals, LLC (Standley Shores Dental Group)
• Colorado Dental Specialist Practice, LLC (Colorado Oral Surgery Group)
• Colorado Dental Team Professional

• Behavior Analyst in Westminster, CO
• Providers in Westminster, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.