Individual
NICHOLAS NYE PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2001 HOYT ST, LAKEWOOD, CO 80215-1639
(303) 759-1192
Mailing address
161 S EMERSON ST APT 301, DENVER, CO 80209-2237
(970) 471-8518
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53723
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-53723
BEHAVIOR ANALYSIS CERTIFICATION BOARD
CO
Enumeration date
10/22/2021
Last updated
10/22/2021
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