Action Behavior Centers, LLC
NPI 1861293292ActiveOrganization· Psychologist· Fountain, CO
Psychologist in Fountain, Colorado, registered in NPPES in March 2025, part of Action Behavior Centers, LLC. The authorized official on file is Samantha L. Gomez, Credentialing Manager.
Overview
| NPI | 1861293292 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Action Behavior Centers, LLC |
| NPI issued | Mar 21, 2025 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Behavior Analyst | 103K00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Fountain
- 1730044249
- 1558975029
- 1386438620