Individual
KATHLEEN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 WARD RD STE G101, ARVADA, CO 80002-1819
(917) 744-5283
Mailing address
5334 DUNRAVEN CIR, GOLDEN, CO 80403-2058
(917) 744-5283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11829724
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588039317
AUTISM SERVICES AND PROGRAMS
CO
Enumeration date
04/05/2018
Last updated
04/05/2018
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