MEDICARE: GOLDSTAR LEARNING OPTIONS, INC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	106E00000X	Assistant Behavior Analyst
3	106S00000X	Behavior Technician
4	2355S0801X	Speech-Language Assistant	0462930	CO
5	235Z00000X	Speech-Language Pathologist	312634	CO
6	103K00000X	Behavior Analyst	11210387	CO

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1427572429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDSTAR LEARNING OPTIONS, INC

Provider Business Mailing Address
First Line	:	7000 BROADWAY STE 208
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-2909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 BROADWAY STE 208
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-2909
Country	:	US
Telephone Number	:	303-327-9738
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	KATHERINE SVIHLIK-BURPO
Credential	:
Telephone Number	:	720-979-4309

Provider Enumeration Date	:	08/01/2017
Last Update Date	:	05/28/2021

7000 BROADWAY STE 412
DENVER, CO
80221-2909

Practice Phone: 303-654-0720
Practice Fax: 303-654-0728