Active NPI
Michael Dean Barker III, BCABA
- Assistant Behavior Analyst
- Pueblo, CO
National Provider Identifier
1982206033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-22-13926
- Practice address
- 401 Broadway Ave
Pueblo, CO 81004-2127 - Phone
- (719) 425-7771
- NPI assigned
- Nov 13, 2020
- Sex
- Male
- 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 | RBT-20-144415 | CO | |
| Assistant Behavior Analyst | 106E00000X | 0-22-13926 | CO | Primary |
Addresses
Primary practice location
401 Broadway Ave
Pueblo, CO 81004-2127
Mailing address
2285 Fremont Dr
Canon City, CO 81212-2533
Phone (719) 431-2072
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-20-144415 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1982206033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 FREMONT DR",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122533",
"telephone_number": "719-431-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BROADWAY AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042127",
"telephone_number": "719-425-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-13",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-20-144415",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CO",
"license": "0-22-13926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.