Autumn Broyles
Individual provider Active NPI Behavior Technician · Fountain, CO
NPI 1972280469 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1972280469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 901 N Santa Fe Ave
Fountain, CO 80817-1738 - Phone
- (719) 822-0550
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
901 N Santa Fe Ave
Fountain, CO 80817-1738
Mailing address
2233 Academy PL Ste 200
Colorado Springs, CO 80909-1666
Other providers in Fountain, CO
- Eva C Brewer
- Kastasia Britt
- Chantelle Brockwell
- Breanna Brooks
- Aleah Haley Brown
- Taylor Douglas Buchanan
- Buck Jack LLC
- Buck Jack LLC
- Buck Jack LLC
- Buck Jack LLC
All providers in Fountain, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.