DEVELOPMENTAL DISABILITIES CENTER (NPI# 1508086794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086794 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES CENTER |
| Other Organization Name | IMAGINE |
| Practice Address |
1665 Coal Creek Dr Lafayette CO 80026-2784 |
| Mailing Address |
1400 Dixon St Lafayette CO 80026-2790 |
| Practice Telephone | 3036657789 |
| Practice Fax Number | 3036652648 |
| Mailing Telephone | 3036657789 |
| Mailing Fax Number | 3036652648 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | MR. JOHN NEVINS (CFO) |
| Authorized Official Telephone | 3036657789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| IMAGINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378868 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1608 Otis Dr, Longmont, CO 80504-1765 | 2016-10-28 |
| 1326590084 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1806 Iris Ave, Boulder, CO 80304-2235 | 2016-10-28 |
| 1710439468 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 435 Manhattan Dr, Boulder, CO 80303-4104 | 2016-10-28 |
| 1568914224 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 15536 W Santa Fe Dr, Broomfield, CO 80023-6206 | 2016-10-28 |
| 1689126476 | Developmental Disabilities Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4500 7th St, Boulder, CO 80304-4394 | 2016-10-27 |
| 1871613141 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 5421 Western Ave, Boulder, CO 80301-2708 | 2007-03-30 |
| 1962522235 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1960 Ken Pratt Blvd Ste D, Longmont, CO 80503-6045 | 2007-03-30 |
| 1831236009 | Developmental Disabilities Center | Case Management | 1400 Dixon St, Lafayette, CO 80026-2790 | 2007-01-30 |
| 1174532204 | Developmental Disabilities Center | Psychologist | 1400 Dixon Avenue, Lafayette, CO 80026-2790 | 2006-08-07 |
| 1164052841 | Developmental Disabilities Center | Case Management | 1400 Dixon Ave, Lafayette, CO 80026-2790 | 2020-01-22 |
| Street Address |
1665 COAL CREEK DR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-2784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578061230 | Jensen Hanyak | Speech-Language Pathologist | 1665 Coal Creek Dr, Lafayette, CO 80026-2784 | 2018-01-29 |
| 1982117560 | Kristina Pickett | Speech-Language Pathologist | 1665 Coal Creek Dr, Lafayette, CO 80026-2784 | 2017-11-06 |
| 1538602529 | Developmental Disabilities Center | Behavioral Analyst | 1665 Coal Creek Dr, Lafayette, CO 80026-2784 | 2016-11-23 |
| 1104368935 | Kristin Cowin | Behavioral Analyst | 1665 Coal Creek Dr, Lafayette, CO 80026-2784 | 2016-11-10 |
| 1477937142 | Caitlin Looney | Counselor | 1665 Coal Creek Dr, Lafayette, CO 80026-2784 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| 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 |
|---|---|---|---|---|
| 1740897719 | Taylor Boulet | Behavioral Analyst | 504 Guilbeau Rd Ste D, Lafayette, LA 70506-8413 | 2020-09-24 |
| 1568074250 | Carly Danielle Mouton | Behavioral Analyst | 207 Calypso Ln, Lafayette, LA 70508-5109 | 2020-08-23 |
| 1033694161 | Summit Behavioral Services | Behavioral Analyst | 105 Saint James Dr, Lafayette, LA 70506-5911 | 2018-09-25 |
| 1386128197 | Kelly Rice | Behavioral Analyst | 1094 Orchard Rd, Lafayette, CA 94549-3147 | 2018-09-18 |
| 1295215358 | Meghan Christine Wagner | Behavioral Analyst | 1295 Crystal Ln, Lafayette, OR 97127-6115 | 2018-08-17 |
| 1982190856 | Hannah Lahaye | Behavioral Analyst | 601 Loire Ave Ste D, Lafayette, LA 70507-2477 | 2018-07-03 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1780036699 | Danielle Kumandan | Behavioral Analyst | 3650 Mt Diablo Blvd, Lafayette, CA 94549-3780 | 2016-07-05 |
| 1992155675 | Brightspots Behavior and Learning | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2016-06-14 |
| Find all providers in LAFAYETTE | ||||
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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.