Healthcare Provider Details

I. General information

NPI: 1295420982
Provider Name (Legal Business Name): SHERI NIVEN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 09/06/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 PARKMOOR VILLAGE DR
COLORADO SPRINGS CO
80917-5292
US

IV. Provider business mailing address

3535 PARKMOOR VILLAGE DR
COLORADO SPRINGS CO
80917-5292
US

V. Phone/Fax

Practice location:
  • Phone: 719-232-9999
  • Fax: 719-325-8994
Mailing address:
  • Phone: 719-232-9999
  • Fax: 719-325-8994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: SHERI NIVEN
Title or Position: OWNER
Credential:
Phone: 171-923-2349