NPI 1205680303 · live from the CMS NPI Registry
Action Behavior Centers, LLC
Psychologist in Castle Rock, CO. National Provider Identifier 1205680303, active.
NPI record
| NPI | 1205680303 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1585 S Perry St, Castle Rock, CO 80104 |
| Practice phone | 303-634-8282 |
| Mailing address | 1601 S Mopac Expy Ste C300, Austin, TX 78746 |
| Enumerated | April 15, 2024 |
| Last updated | April 15, 2024 |
| Authorized official | Samantha Gomez, Credentialing Manager |
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.