PHILLIP ADAM POTTER (NPI# 1457670051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457670051 |
| Entity Type | Individual |
| Full Name | PHILLIP ADAM POTTER |
| Credential | MA, BCBA |
| Practice Address |
5412 Idylwild Trl # 100 Suite 107 Boulder CO 80301-3523 |
| Mailing Address |
345 S 38th St Boulder CO 80305-5469 |
| Practice Telephone | 7207727334 |
| Mailing Telephone | 7207727334 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2016-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376642777 | Phillip L Potter | Obstetrics & Gynecology | 1700 Hospital South Dr, Suite 504, Austell, GA 30106-6810 | 2006-09-22 |
| Street Address |
5412 IDYLWILD TRL # 100 SUITE 107 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-3523 |
| 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 |
| 1255560397 | Edith Guadalupe Purcell | Behavioral Analyst | 377 Pearl St, Boulder, CO 80302-4928 | 2009-07-10 |
| 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.