Active NPI
Grace Ellen Wayman, M.A., BCBA
- Behavior Analyst
- Arvada, CO
National Provider Identifier
1992313993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-32302
- Practice address
- 14950 W 64TH Ave Ste C
Arvada, CO 80007-8291 - Phone
- (720) 642-7019
- NPI assigned
- Jul 16, 2020
- 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 | 1-18-32302 | CO | Primary |
Addresses
Primary practice location
14950 W 64TH Ave Ste C
Arvada, CO 80007-8291
Mailing address
439 Hickory St
Broomfield, CO 80020-2904
Phone (801) 259-7973
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1992313993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 HICKORY ST",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202904",
"telephone_number": "801-259-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14950 W 64TH AVE STE C",
"city": "ARVADA",
"state": "CO",
"postal_code": "800078291",
"telephone_number": "720-642-7019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYMAN",
"first_name": "GRACE",
"middle_name": "ELLEN",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-18-32302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.