Individual
MR. STEPHEN BUCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
11111 E MISSISSIPPI AVE, AURORA, CO 80012-3106
(303) 214-3370
(303) 214-3360
Mailing address
11111 E MISSISSIPPI AVE, AURORA, CO 80012-3106
(303) 214-3370
(303) 214-3360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7066
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14959046
—
CO
Enumeration date
09/11/2013
Last updated
09/11/2013
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