NPIMap

Organization Active NPI

Laree Kelly-Warner, Ma, Bcba, P.C.

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1861633604
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1062879 Issued in CO
Legal business name
LAREE KELLY-WARNER, MA, BCBA, P.C.
Practice address
1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320
Phone
(719) 210-7464
Fax
(719) 638-8115
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Laree Kelly-WarnerNPI 1841336971
Title
Billing Manager
Phone
(719) 210-7464

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1062879 CO Primary

Addresses

Primary practice location

1322 N Academy Blvd Ste 204
Colorado Springs, CO 80909-3320

Mailing address

PO Box 76510
Colorado Springs, CO 80970-6510
Phone (719) 210-7464

National Provider Directory

National Provider Directory
Tax ID family
Laree Kelly-Warner Ma Bcba PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1322 N Academy Blvd
Ste 222
Colorado Springs, CO 80909

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1861633604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76510",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809706510",
            "telephone_number": "719-210-7464",
            "fax_number": "719-638-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 N ACADEMY BLVD STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093320",
            "telephone_number": "719-210-7464",
            "fax_number": "719-638-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREE KELLY-WARNER, MA, BCBA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "KELLY-WARNER",
        "authorized_official_first_name": "LAREE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "719-210-7464"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1062879",
            "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 May 23, 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.