DIANA DOROTHEA EWOLDT (NPI# 1720594526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720594526 |
| Entity Type | Individual |
| Full Name | DIANA DOROTHEA EWOLDT |
| Credential | BCABA |
| Practice Address |
4905 N Union Blvd Ste 200 Colorado Springs CO 80918-4058 |
| Mailing Address |
6050 Stetson Hills Blvd # 150 Colorado Springs CO 80923-3571 |
| Practice Telephone | 9702199089 |
| Practice Fax Number | 7194652744 |
| Mailing Telephone | 7192092102 |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-18-9265 | Behavioral Health & Social Service Providers |
| Street Address |
4905 N UNION BLVD STE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462458 | Alishia Marie Shellenberg | Behavior Technician | 4905 N Union Blvd Ste 200, Colorado Springs, CO 80918-4058 | 2017-12-13 |
| 1265062368 | Dlb Counseling & Consulting, LLC | Counselor | 4905 N Union Blvd Ste 200, Colorado Springs, CO 80918-4058 | 2020-01-17 |
| 1205334885 | Marissa Blackman | Community/Behavioral Health | 4905 N Union Blvd Ste 200, Colorado Springs, CO 80918-4058 | 2018-01-29 |
| 1568978369 | Ali Richeaux-mcdade | Behavioral Analyst | 4905 N Union Blvd Ste 200, Colorado Springs, CO 80918-4058 | 2017-12-17 |
| 1477069276 | Whitney Richeaux Mcdade | Behavior Technician | 4905 N Union Blvd Ste 200, Colorado Springs, CO 80918-4058 | 2017-12-17 |
| 1558876490 | Christine Rosemark | Behavior Technician | 4905 N Union Blvd Ste 200, Colorado Springs, CO 80918-4058 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1881042497 | Anaila Nodarse | Assistant Behavior Analyst | 5526 N Academy Blvd Ste 109, Colorado Springs, CO 80918-3688 | 2016-05-25 |
| 1649674813 | Erica Fung | Assistant Behavior Analyst | 5526 N Academy Blvd, Colorado Springs, CO 80918 | 2014-10-17 |
| 1144888389 | Maya Nelson | Assistant Behavior Analyst | 6197 Lehman Dr Ste 102, Colorado Springs, CO 80918-3446 | 2019-06-03 |
| 1013475136 | Mackenzie Hirn | Assistant Behavior Analyst | 5446 N Academy Blvd Ste 105, Colorado Springs, CO 80918-3668 | 2019-03-07 |
| 1083181267 | Andrew O'brien | Assistant Behavior Analyst | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2018-10-25 |
| 1649763467 | Courtney Arbildo | Assistant Behavior Analyst | 5446 N Academy Blvd Ste 204, Colorado Springs, CO 80918-3669 | 2018-06-07 |
| 1861998833 | Ciara Mae Keeton | Assistant Behavior Analyst | 6050 Erin Park Dr, Colorado Springs, CO 80918-3488 | 2018-03-30 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
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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.