Individual provider Active NPI

Darrelle Haddad

  • Behavior Analyst
  • Englewood, CO
National Provider Identifier
1972270643
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
88 Inverness Cir E Unit M103
Englewood, CO 80112-5531
Phone
(720) 962-4555
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

88 Inverness Cir E Unit M103
Englewood, CO 80112-5531

Mailing address

2525 S Wadsworth Blvd Ste 303
Lakewood, CO 80227-3246
Phone (720) 962-4555

Other practice location 1

2484 Sand Lake Rd
Orlando, FL 32809-7672
Phone (407) 342-7939

Other practice location 2

2525 S Wadsworth Blvd Ste 102
Lakewood, CO 80227-3246
Phone (720) 962-4555

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

OrganizationSpecialtyStatusNew patients
Behavior Blossoms LLC Behavior Analyst CurrentSince Sep 1, 2021 Accepting new patients
Hart Therapy, Inc Behavior Analyst Past Accepting new patients

Locations

151 W Church Ave
Longwood, FL 32750
Phone (407) 342-4220

2484 Sand Lake Rd
Orlando, FL 32809
Phone (407) 205-7794

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1972270643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S WADSWORTH BLVD STE 303",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273246",
            "telephone_number": "720-962-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E UNIT M103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125531",
            "telephone_number": "720-962-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2484 Sand Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328097672",
            "country_code": "US",
            "telephone_number": "407-342-7939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 S Wadsworth Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802273246",
            "country_code": "US",
            "telephone_number": "720-962-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "DARRELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.