NPI 1104781715 · live from the CMS NPI Registry
Action Behavior Centers Therapy LLC
Psychologist in Aurora, CO. National Provider Identifier 1104781715, active.
NPI record
| NPI | 1104781715 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 23750 E 14th Ave, Aurora, CO 80018 |
| Practice phone | 970-900-7054 |
| Mailing address | 6300 Bee Caves Rd Bldg 2-100, Austin, TX 78746 |
| Enumerated | December 17, 2025 |
| Last updated | December 17, 2025 |
| Authorized official | Samantha Gomez, Credentialing Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.