Individual
BETHANY MARIE BLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1785 KEARNEY ST, DENVER, CO 80220-1546
(720) 727-7895
Mailing address
1785 KEARNEY ST, DENVER, CO 80220-1546
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376917880
ORGANIZATION'S NPI
CO
Enumeration date
07/20/2023
Last updated
07/20/2023
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