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Organization
INCLUSIVE ABA CO LLC
Active
Organization
INCLUSIVE ABA CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JT GUTMAN (DIRECTOR OF OPERATIONS)
(303) 616-1188
Entity
Organization
Contact information
Practice address
155 BOARDWALK DR # 490, FORT COLLINS, CO 80525-3040
(303) 616-1188
(303) 616-1189
Mailing address
1525 PROSPECT ST STE 603, LAKEWOOD, NJ 08701-4642
(303) 616-1188
(303) 616-1189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
12/08/2022
Last updated
07/28/2025
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