Healthcare Provider Details

I. General information

NPI: 1164084380
Provider Name (Legal Business Name): NATHAN T HUGHES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6197 LEHMAN DR STE 102
COLORADO SPRINGS CO
80918-3446
US

IV. Provider business mailing address

390 UNION BLVD STE 300
LAKEWOOD CO
80228-6514
US

V. Phone/Fax

Practice location:
  • Phone: 719-266-1000
  • Fax:
Mailing address:
  • Phone: 303-989-8172
  • Fax: 303-984-4366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: