CENTER FOR AUTISM AND RELATED DISORDERS LLC (NPI# 1174124689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174124689 |
| Entity Type | Organization |
| Organization Name | CENTER FOR AUTISM AND RELATED DISORDERS LLC |
| Practice Address |
5305 Spine Rd Ste A Boulder CO 80301-3331 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 7206432350 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | NICK MARKS (CONTRACT MANAGER) |
| Authorized Official Telephone | 8183452345 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR AUTISM AND RELATED DISORDERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156226 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 16701 Melford Blvd Ste 413, Bowie, MD 20715-4305 | 2018-08-30 |
| 1457506297 | Center for Autism and Related Disorders LLC | Early Intervention Provider Agency | 126 Library Ln, Mamaroneck, NY 10543 | 2008-11-20 |
| 1740437029 | Center for Autism and Related Disorders LLC | Community/Behavioral Health | 3610 Snell Ave, San Jose, CA 95136 | 2008-08-19 |
| 1427659838 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 695 S Colorado Blvd Ste 10, Denver, CO 80246-8015 | 2020-11-03 |
| 1225639651 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 2121 S Blackhawk St Ste 100, Aurora, CO 80014-1488 | 2020-11-03 |
| 1891396305 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2020-11-03 |
| 1215538632 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 1100 Haxton Dr Unit 115, Fort Collins, CO 80525-6213 | 2020-11-03 |
| 1972104388 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 88 Inverness Cir E Ste 103&h104, Englewood, CO 80112-5304 | 2020-11-03 |
| 1114409729 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 114 E 25th St, Baltimore, MD 21218-5214 | 2018-08-30 |
| 1700368321 | Center for Autism and Related Disorders LLC | Behavioral Analyst | 1997 Annapolis Exchange Pkwy Ste 300, Annapolis, MD 21401-3273 | 2018-08-30 |
| Street Address |
5305 SPINE RD STE A |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588120307 | Devin Elizabeth Peterson | Behavioral Analyst | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2019-02-17 |
| 1154929156 | Marie Ann Ross | Behavioral Analyst | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-10-12 |
| 1720685035 | Andre Tif Johnson II | Behavioral Analyst | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-10-08 |
| 1235746884 | Kendra Chantal Park | Behavior Technician | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-09-28 |
| 1396351334 | Brook Christine Cunningham | Behavior Technician | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-09-16 |
| 1649896242 | Brooke Shewmaker | Behavior Technician | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-06-19 |
| 1881220499 | Marina Frances Efstathiu | Behavior Technician | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-03-14 |
| 1346873536 | Alexandra Anderson | Behavior Technician | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-02-17 |
| 1295367415 | Kendra Meyers | Behavior Technician | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2020-02-05 |
| 1285270231 | Sydni Erin Rapson | Behavioral Analyst | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2019-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| 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 |
|---|---|---|---|---|
| 1023625670 | Moving Boulders Aba Services Inc | Behavioral Analyst | 1495 Canyon Blvd # 21, Boulder, CO 80302-5367 | 2020-09-28 |
| 1104465335 | Ben Weber | Behavioral Analyst | 5303 Spine Rd, Boulder, CO 80301-3300 | 2020-01-06 |
| 1588120307 | Devin Elizabeth Peterson | Behavioral Analyst | 5305 Spine Rd Ste A, Boulder, CO 80301-3331 | 2019-02-17 |
| 1497244420 | Kathryn Sealer | Behavioral Analyst | 970 North St Apt 107, Boulder, CO 80304-3339 | 2018-05-04 |
| 1700322369 | Lori Havatian | Behavioral Analyst | 5355 Centennial Trl, Boulder, CO 80303-1265 | 2017-01-06 |
| 1508319112 | Emer Lee | Behavioral Analyst | 3030 Oneal Pkwy Apt M34, Boulder, CO 80301-1475 | 2016-07-31 |
| 1376912352 | Colby Highfill | Behavioral Analyst | 2110 Meadow Ave, Boulder, CO 80304-1625 | 2015-09-18 |
| 1164805065 | Stephanie L Volk | Behavioral Analyst | 1720 S Marshall Rd Trlr 19, Boulder, CO 80305-7346 | 2015-07-09 |
| 1306249388 | Hayley Brown | Behavioral Analyst | 505 27th Way Apt 527, Boulder, CO 80305-3398 | 2014-10-03 |
| 1457670051 | Phillip Adam Potter | Behavioral Analyst | 5412 Idylwild Trl # 100, Suite 107, Boulder, CO 80301-3523 | 2010-05-20 |
| Find all providers in BOULDER | ||||
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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.