Active NPI
Anthony Alexander Colomo, BT
- Behavior Technician
- Sherman Oaks, CA
National Provider Identifier
1902667751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- Y1643619
- Practice address
- 15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231 - Phone
- (877) 418-2978
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- 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 | Y1643619 | CA | Primary |
Addresses
Primary practice location
15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231
Mailing address
13216 S Main St
Los Angeles, CA 90061-1610
Phone (323) 839-6206
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
- Credentials
- Bachelor of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y1643619 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1902667751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13216 S MAIN ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900611610",
"telephone_number": "323-839-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15233 VENTURA BLVD STE 500",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032231",
"telephone_number": "877-418-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOMO",
"first_name": "ANTHONY",
"middle_name": "ALEXANDER",
"credential": "BT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "Y1643619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.