Provider Demographics
NPI:1073058277
Name:NOVUS BEHAVIOR ASSOCIATES LLC
Entity Type:Organization
Organization Name:NOVUS BEHAVIOR ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDELS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:401-741-0677
Mailing Address - Street 1:12 OSAGE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3585
Mailing Address - Country:US
Mailing Address - Phone:720-432-0338
Mailing Address - Fax:
Practice Address - Street 1:12 OSAGE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3585
Practice Address - Country:US
Practice Address - Phone:720-432-0338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-23
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty