MRS. KATHERINE LINDSEY BROADWELL (NPI# 1073028080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073028080 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE LINDSEY BROADWELL |
| Credential | M.ED., BCBA, RBT |
| Practice Address |
1930 Frequent Flyer Pt Colorado Springs CO 80915-1500 |
| Mailing Address |
10626 Pictured Rocks Dr Peyton CO 80831-7061 |
| Practice Telephone | 7195796440 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-19-40322 | CO | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-16-22558 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1930 FREQUENT FLYER PT |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80915-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960872 | Kristian Carroll | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-10-19 |
| 1063025195 | Ascend Aba Colorado LLC | Behavioral Analyst | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-28 |
| 1518579846 | Timothy Baugher | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-18 |
| 1063023695 | Trinity S. Griffin | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-17 |
| 1336750728 | Malcolm Bernard Jordan | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-11 |
| 1255942785 | Mikayla Ashleigh Griffith | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-10 |
| 1861002495 | Jennifer Meyers | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-08-07 |
| 1962011767 | Kaylyn Richmond | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-07-28 |
| 1679109136 | Diane Herdegen | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-03-17 |
| 1477188381 | Kayla Diane Akerboom | Behavior Technician | 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911418 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5050 Edison Ave, Suite 116, Colorado Springs, CO 80915 | 2014-12-17 |
| 1114202041 | Stateserv Medical of Colorado LLC | Durable Medical Equipment & Medical Supplies | 920 Ford St., Suite A, Colorado Springs, CO 80915 | 2011-10-11 |
| 1447550355 | Andrew Timothy Huwe | Pharmacist | 665 N Murray Blvd, Colorado Springs, CO 80915 | 2010-10-26 |
| 1891005013 | Community Services & Supports | Day Training, Developmentally Disabled Services | 4575 Galley Rd., Suite 400a, Colorado Springs, CO 80915 | 2010-10-21 |
| 1891022505 | South Powers Dental Prof LLC | Dentist | 1580 Space Center Drive, Suite 107, Colorado Springs, CO 80915 | 2009-11-17 |
| 1720212780 | Nicole Marie Malyj | Counselor | 1520 E. Owen Circle, Colorado Springs, CO 80915 | 2009-05-06 |
| 1134325848 | Catherine M Cortese | Audiologist | 1695 Leoti Drive, Colorado Springs, CO 80915 | 2007-06-21 |
| 1306965108 | Jeanie Bein | Psychologist | 4520 Brady Rd, Colorado Springs, CO 80915 | 2007-03-29 |
| 1982749909 | Clint L Kasza | Optometrist | Vision Center At Wal-mart, 1575 Space Center Drive, Colorado Springs, CO 80915 | 2007-02-20 |
| 1013063130 | Miriam Owens | Counselor | 1611 Sanderson Avenue, Colorado Springs, CO 80915 | 2007-01-25 |
| Find all providers in zip 80915 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578093 | Total Initiative Pursuit LLC | Behavioral Analyst | 5474 Jessica Ct, Colorado Springs, CO 80917-4218 | 2020-11-03 |
| 1023618196 | Vocational Development Group, LLC | Behavioral Analyst | 421 Windchime Pl, Colorado Springs, CO 80919-1984 | 2020-10-28 |
| 1013524297 | By Your Side Colorado, LLC | Behavioral Analyst | 826 Paseo Rd, Colorado Springs, CO 80907-7150 | 2020-09-30 |
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1568070597 | Colo Springs Aba LLC | Behavioral Analyst | 5412 Butterfield Dr, Colorado Springs, CO 80923-8719 | 2020-07-15 |
| 1598383069 | Three Fleur De Lis Inc | Behavioral Analyst | 5535 Thurber Dr, Colorado Springs, CO 80924-2079 | 2020-07-10 |
| 1871119420 | Rehab for All | Behavioral Analyst | 2005 Aeroplaza Dr, Colorado Springs, CO 80916-4207 | 2020-06-19 |
| 1770116949 | Hopebridge LLC | Behavioral Analyst | 945 N Academy Blvd, Colorado Springs, CO 80909-8310 | 2020-02-17 |
| 1609411958 | Colorado Springs Behavioral Services | Behavioral Analyst | 4330 Kincaid Ct, Colorado Springs, CO 80906-4366 | 2019-11-11 |
| 1790332302 | Rebekah Susan Andriano | Behavioral Analyst | 12665 Falcon Dr, Colorado Springs, CO 80908-3219 | 2019-08-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80915 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.