Active NPI
Rebecca Safanov, BCBA
- Behavior Analyst
- Lakewood, CO
National Provider Identifier
1952885410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49012
- Practice address
- 2001 Hoyt St
Lakewood, CO 80215-1639 - Phone
- (303) 759-1192
- NPI assigned
- Sep 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-49012 | Primary |
Addresses
Primary practice location
2001 Hoyt St
Lakewood, CO 80215-1639
Mailing address
5577 S Hill St Unit 206
Littleton, CO 80120-1165
Phone (561) 573-9868
Other practice location 1
5180 W Atlantic Ave Ste 114
Delray Beach, FL 33484-8103
Phone (561) 674-9996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103K00000X | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@fireflyautism.org |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrysalis ABA Therapy Corp | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Delray Beach, FL
- NPI 1760838015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1952885410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5577 S HILL ST UNIT 206",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801201165",
"telephone_number": "561-573-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 HOYT ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802151639",
"telephone_number": "303-759-1192"
}
],
"practiceLocations": [
{
"address_1": "5180 W Atlantic Ave Ste 114",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334848103",
"country_code": "US",
"telephone_number": "561-674-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAFANOV",
"first_name": "REBECCA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-49012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103K00000X",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@fireflyautism.org",
"affiliation": "N",
"endpointDescription": "Company website",
"address_1": "2001 Hoyt St",
"city": "Lakewood",
"state": "CO",
"country_code": "US",
"postal_code": "802151639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.