Active NPI
Madison Eitniear, RBT
- Behavior Technician
- Denver, CO
National Provider Identifier
1881297638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20133207
- Practice address
- 8354 E Northfield Blvd Unit 3700
Denver, CO 80238-3135 - Phone
- (720) 961-3764
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- 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 | 20133207 | CO | Primary |
Addresses
Primary practice location
8354 E Northfield Blvd Unit 3700
Denver, CO 80238-3135
Mailing address
PO Box 258831
Oklahoma City, OK 73125-8831
Phone (720) 961-3764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20133207 | Other | CO | RBT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20133207 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1881297638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 258831",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731258831",
"telephone_number": "720-961-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 E NORTHFIELD BLVD UNIT 3700",
"city": "DENVER",
"state": "CO",
"postal_code": "802383135",
"telephone_number": "720-961-3764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EITNIEAR",
"first_name": "MADISON",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "20133207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "20133207",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.