Organization Active NPI

Front Range Behavior

  • Behavior Analyst
  • Greeley, CO
National Provider Identifier
1922695741
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FRONT RANGE BEHAVIOR
Practice address
2547 11TH Ave Ste B
Greeley, CO 80631-1680
Phone
(970) 673-8476
Fax
(970) 515-3619
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST GREELEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Angela B Chase, BCBA, M.S., CCC-SLP
Title
Owner
Phone
(970) 673-8476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2547 11TH Ave Ste B
Greeley, CO 80631-1680

Mailing address

2547 11TH Ave Ste B
Greeley, CO 80631-1680
Phone (970) 673-8476

Other identifiers 1

IdentifierTypeStateIssuer
9000166702MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address achase@frsb.info Direct

National Provider Directory

National Provider Directory
Tax ID family
Front Range Behavior2 organizations share this tax ID, including this one
Part of
Front Range Behavior

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2547 11th Ave
Ste B
Greeley, CO 80631
Phone (970) 673-8476

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1922695741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 11TH AVE STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806311680",
            "telephone_number": "970-673-8476",
            "fax_number": "970-515-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 11TH AVE STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806311680",
            "telephone_number": "970-673-8476",
            "fax_number": "970-515-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE BEHAVIOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST GREELEY",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-673-8476",
        "authorized_official_credential": "BCBA, M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000166702",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achase@frsb.info",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2547 11th Ave Ste B",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806311680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.