Gabriella Rachal Vandenelzen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1330 S Potomac St Ste 112
Aurora, CO 80012-4527

Phone

(303) 989-8169

Fax

(303) 984-4366

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Action Behavior Centers, LLC

  • Behavior Analyst
  • Aurora, CO
  • NPI 1457032393
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1922469972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286514",
            "telephone_number": "303-989-8169",
            "fax_number": "303-984-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S POTOMAC ST STE 112",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124527",
            "telephone_number": "303-989-8169",
            "fax_number": "303-984-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENELZEN",
        "first_name": "GABRIELLA",
        "middle_name": "RACHAL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-18-32744",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Baxter Vancavage, LSW
• Abigail Vance
• Andria Vance
• Curtis Daniel Vandenberg, M.D.
• Isaac Vandenbos
• Ashley Nicole Vander Does, MD
• Shawna Lynne Vanderhoof, O.D.
• Gwendolyn Vanderiet, MA
• Robert M Vanderkleed, O.D. (DOCTOR OF OPTO
• Timothy Owen Vanderkooy, MD

• Behavior Analyst in Aurora, CO
• Providers in Aurora, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.