NPI 1083311294 · live from the CMS NPI Registry
Action Behavior Centers, LLC
Psychologist in Englewood, CO. National Provider Identifier 1083311294, active.
NPI record
| NPI | 1083311294 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 6065 South Quebec Street, Suite 100, Englewood, CO 80111 |
| Practice phone | 720-259-5079 |
| Mailing address | 1601 S Mopac Expy, Ste C300, Austin, TX 78746 |
| Enumerated | February 8, 2023 |
| Last updated | February 8, 2023 |
| Authorized official | Samantha Gomez, Credentialing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.