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Organization
BAKANCED FAMILY BEHAVIORAL SERVICES
Active
Organization
BAKANCED FAMILY BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME NICOLE CLARK BCBA (BOARD CERTIFIED BEHAVIOR ANAYLST)
(303) 570-0233
Entity
Organization
Contact information
Practice address
2603 E 137TH AVE, THORNTON, CO 80602-7237
(303) 570-0233
Mailing address
2603 E 137TH AVE, THORNTON, CO 80602-7237
(303) 570-0233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11211853
CO
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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