Active NPI
Kimberly A Rosa, M.A., BCBA
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1982914669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4460
- Practice address
- 2040 Roanoke St
Colorado Springs, CO 80906-3416 - Phone
- (719) 246-8440
- NPI assigned
- Oct 15, 2010
- 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 | 1-08-4460 | CO | Primary |
Addresses
Primary practice location
2040 Roanoke St
Colorado Springs, CO 80906-3416
Mailing address
2040 Roanoke St
Colorado Springs, CO 80906-3416
Phone (719) 246-8440
Other practice location 1
5423 Spoked Wheel Dr
Colorado Springs, CO 80923-8741
Phone (719) 354-5297
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Kids Behavioral Consulting | Behavior Analyst | Past | Accepting new patients |
| Adventure Learning Behavioral Interventions | Behavior Analyst | Past | Accepting new patients |
| Adventure Learning Behavioral Interventions | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Respite Care
- Colorado Springs, CO
- NPI 1518620673
-
- Behavior Analyst
- Colorado Springs, CO
- NPI 1760080386
-
- Behavior Analyst
- Colorado Springs, CO
- NPI 1245580216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1982914669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 ROANOKE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063416",
"telephone_number": "719-246-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 ROANOKE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063416",
"telephone_number": "719-246-8440"
}
],
"practiceLocations": [
{
"address_1": "5423 Spoked Wheel Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809238741",
"country_code": "US",
"telephone_number": "719-354-5297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSA",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-08-4460",
"primary": true
}
],
"identifiers": [],
"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 Apr 6, 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.