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Vincent Ahmed Mahmoud , MS, BCBA, IBA

Behavior Analyst β€’ Pueblo, CO

Active NPI 1023669090 Individual Practitioner Male Practitioner
Practice location in NPPES

5304 Gannet Ln
Pueblo, CO 810089719

Call 9084207595 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5304 Gannet Ln

Pueblo, CO 810089719

Telephone 9084207595
Organization at the Same NPPES Address or Phone
Conjure Services And Supports Facility NPI 1861284796

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Colorado Springs, CO; Pueblo, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pueblo and Colorado

23 active clinicians are listed under Behavior Analyst with a practice address in Pueblo, CO (2,248 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pueblo

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CO 1-18-30514

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NJ 1-18-30514

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Secondary Practice Locations

445 E Cheyenne Mountain Blvd Ste C-372

Colorado Springs, CO 809061528

Phone: 8558326727

270 W John Powell Blvd

Pueblo, CO 810071775

Phone: 7199645183

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location May 29, 2025

Registered at 5304 GANNET LN, PUEBLO, CO 810089719 (Tel: 9084207595)

πŸ‘€
Provider Name / Credentials Updated May 29, 2025

Recorded as VINCENT MAHMOUD, MS, BCBA, IBA

πŸ“
Updated Practice Location July 11, 2023

Registered at 445 E CHEYENNE MOUNTAIN BLVD STE C-372, COLORADO SPRINGS, CO 809061528 (Tel: 8558326727)

πŸ“
Updated Business Mailing Address July 11, 2023

Registered at 5304 GANNET LN, PUEBLO, CO 810089719 (Tel: 9084207595)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2023

Behavior Analyst (license number reported to NPPES: NJ 1-18-30514)

πŸ“
Updated Practice Location May 08, 2022

Registered at 805 DESERT FLOWER BLVD, PUEBLO, CO 810011146 (Tel: 7195014416)

πŸ“
Updated Business Mailing Address May 08, 2022

Registered at 9205 SAND MYRTLE DR, COLORADO SPRINGS, CO 809251121 (Tel: 9084207595)

βœ…
NPI Profile Active September 21, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 21, 2019

Registered at 25 LINWOOD PL, NORTH BRUNSWICK, NJ 089022370 (Tel: 7322893600)

πŸ“
Business Mailing Address (Initial Record) September 21, 2019

Registered at 3 ELLINGHAM AVE, MONROE TWP, NJ 088312419 (Tel: 9084207595)

πŸ‘€
Provider Name / Credentials (Initial Record) September 21, 2019

Recorded as VINCENT MAHMOUD, MS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 21, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023669090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2019
Last Update: May 29, 2025
Sole Proprietor: Yes

Mailing Address

5304 Gannet Ln

Pueblo, CO 810089719

Phone: 9084207595

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.