NPI 1992422430 · live from the CMS NPI Registry
Action Behavior Centers, LLC
Psychologist in Broomfield, CO. National Provider Identifier 1992422430, active.
NPI record
| NPI | 1992422430 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 320 E 1st Ave Ste 101, Broomfield, CO 80020 |
| Practice phone | 720-259-5500 |
| Mailing address | 1601 S Mopac Expy Ste C300, Austin, TX 78746 |
| Enumerated | October 25, 2022 |
| Last updated | October 25, 2022 |
| 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.