Active NPI
Jacqueline Islas, RBT
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1952817108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 16-23390
- Practice address
- 5540 N Academy Blvd Ste 160
Colorado Springs, CO 80918 - Phone
- (719) 477-9972
- NPI assigned
- Dec 26, 2017
- Last updated
- Aug 14, 2018
- Sex
- Female
- 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 | 16-23390 | Primary |
Addresses
Primary practice location
5540 N Academy Blvd Ste 160
Colorado Springs, CO 80918
Mailing address
19253 E US Highway 24 Unit 11
Woodland Park, CO 80863-9193
Phone (915) 479-1392
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1952817108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19253 E US HIGHWAY 24 UNIT 11",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808639193",
"telephone_number": "915-479-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 N ACADEMY BLVD STE 160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80918",
"telephone_number": "719-477-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAS",
"first_name": "JACQUELINE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "16-23390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.