Active NPI
Victoria Vasti Harrelson, RBT
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1962120865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-22-227248
- Practice address
- 11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864 - Phone
- (719) 344-9342
- NPI assigned
- Aug 16, 2022
- Last updated
- Aug 16, 2022
- 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 Analyst | 103K00000X | RBT-22-227248 | CO | Primary |
Addresses
Primary practice location
11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864
Mailing address
11681 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3864
Phone (719) 344-9342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-22-227248 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-227248 | CO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Kids Co. PLLC | Behavior Analyst | Current | Accepting new patients |
Locations
11681 Voyager Pkwy
Ste 150
Colorado Springs, CO 80921
Phone (719) 344-9342
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1962120865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11681 VOYAGER PKWY STE 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213864",
"telephone_number": "719-344-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11681 VOYAGER PKWY STE 150",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213864",
"telephone_number": "719-344-9342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELSON",
"first_name": "VICTORIA",
"middle_name": "VASTI",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "RBT-22-227248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RBT-22-227248",
"state": "CO"
}
],
"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 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.