Individual
CHARLES KODI KRANSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6767 S SPRUCE ST STE 100, CENTENNIAL, CO 80112-6118
(303) 225-7673
Mailing address
543 18TH ST UNIT 204, GREELEY, CO 80631-6035
(608) 921-9417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB375979
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB375979
BEHAVIOR ANALYST CERTIFICATION BOARD
CO
Enumeration date
05/18/2017
Last updated
05/18/2017
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