Organization Active NPI

Azula Behavioral Consulting, LLC

  • Behavior Analyst
  • Rifle, CO
National Provider Identifier
1891554168
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AZULA BEHAVIORAL CONSULTING, LLC
Practice address
820 Megan Unit a
Rifle, CO 81650-4705
Phone
(970) 235-1160
Fax
(970) 808-2033
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Brenda Rivera, BCBANPI 1336667435
Title
Clinical Director/ Owner
Phone
(970) 235-1160

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 Analyst 103K00000X Primary

Addresses

Primary practice location

820 Megan Unit a
Rifle, CO 81650-4705

Mailing address

820 Megan Unit a
Rifle, CO 81650-4705
Phone (970) 235-1160

Other identifiers 1

IdentifierTypeStateIssuer
9000190488MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Azula Behavioral Consulting LLC2 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

820 Megan
Unit A
Rifle, CO 81650
Phone (970) 235-1160

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1891554168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MEGAN UNIT A",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816504705",
            "telephone_number": "970-235-1160",
            "fax_number": "970-808-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MEGAN UNIT A",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816504705",
            "telephone_number": "970-235-1160",
            "fax_number": "970-808-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZULA BEHAVIORAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "970-235-1160",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000190488",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.