Madeleine N Gillis, RBT
Individual provider Active NPI Behavior Technician · Northglenn, CO
NPI 1922571363 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1922571363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11698 Huron St Unit 106
Northglenn, CO 80234-2950 - Phone
- (720) 381-0264
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumpet Behavioral Health, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
11698 Huron St Unit 106
Northglenn, CO 80234-2950
Mailing address
390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Other providers in Northglenn, CO
- Theodore Garcia
- Inessa Gershteyn
- Clinton Gerstner
- Prabesh Ghimire
- Rhea Gillespie
- Courtney Gilmer
- Kristen Elizabeth Giltinan
- Dana Glade Yaussy
- Jasmine Godinez
- Adeline Goedgedrag
All providers in Northglenn, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.