Organization Active NPI

Shaping Behavior Academy

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1861235475
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHAPING BEHAVIOR ACADEMY
Practice address
5508 Blue Moon Dr
Colorado Springs, CO 80924-4212
Phone
(817) 995-8953
NPI assigned
Jun 13, 2024
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Erica A Hebert, BCBANPI 1083175145
Title
Co-Founder/Ceo
Phone
(817) 995-8953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

5508 Blue Moon Dr
Colorado Springs, CO 80924-4212

Mailing address

5508 Blue Moon Dr
Colorado Springs, CO 80924-4212
Phone (817) 995-8953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1861235475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 BLUE MOON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244212",
            "telephone_number": "817-995-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 BLUE MOON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244212",
            "telephone_number": "817-995-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING BEHAVIOR ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-FOUNDER/CEO",
        "authorized_official_telephone_number": "817-995-8953",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.