| NPI | 1588967236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKI KEATING Credentialing Manager 303-989-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2025-08-06 |