NPI 1477227015 · live from the CMS NPI Registry
702 Point Place
Behavior Analyst in Colorado Springs, CO. National Provider Identifier 1477227015, active.
NPI record
| NPI | 1477227015 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3680 Pony Tracks Dr, Colorado Springs, CO 80922 |
| Practice phone | 719-654-4143 |
| Enumerated | August 6, 2021 |
| Last updated | May 25, 2022 |
| Authorized official | Amber Suarez, Director/Owner |
| Other names | 719 Point Place |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.