Individual
KATHARINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1200 W SOUTH BOULDER RD STE 204, LAFAYETTE, CO 80026-2833
(720) 837-2348
(303) 554-5657
Mailing address
PO BOX 271690, LOUISVILLE, CO 80027-5035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
10/04/2018
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