Angele Tatem, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-11-4361 Issued in CO

Practice address

29374 Greenwood LN
Evergreen, CO 80439-7404

Phone

(303) 907-1449

NPI assigned

Jun 20, 2017

Last updated

Jun 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1962932160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804370548",
            "telephone_number": "303-907-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29374 GREENWOOD LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397404",
            "telephone_number": "303-907-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEM",
        "first_name": "ANGELE",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "CO",
            "license": "0-11-4361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION FOR BEHAVIOR ANALYSIS",
            "identifier": "0-11-4361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assistant Behavior Analyst in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Assistant Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.