MRS. KATHERINE LINDSEY BROADWELL


Address: 1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500
Phone: 7195796440

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1930 FREQUENT FLYER PT
City COLORADO SPRINGS
State CO
Zip Code 80915-1500

Providers in the same location

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
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Providers in the same zip code

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
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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
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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
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1023618196 Vocational Development Group, LLC Behavioral Analyst 421 Windchime Pl, Colorado Springs, CO 80919-1984 2020-10-28
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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
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Competitor

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City COLORADO SPRINGS
Zip Code 80915

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Dataset Information

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.

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