NPI 1124982392 · live from the CMS NPI Registry
Action Behavior Centers Therapy LLC
Behavior Analyst in Broomfield, CO. National Provider Identifier 1124982392, active.
NPI record
| NPI | 1124982392 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 320 E 1st Ave Ste 101, Broomfield, CO 80020 |
| Practice phone | 720-259-5500 |
| Mailing address | 6300 Bee Caves Rd Bldg 2-100, Austin, TX 78746 |
| Enumerated | December 12, 2025 |
| Last updated | December 12, 2025 |
| Authorized official | Samantha Gomez, Credentialing Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.