Individual
JADE LYNN DITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 LAWRENCE ST, #529, DENVER, CO 80205-2349
(720) 512-1139
Mailing address
2131 LAWRENCE ST, #529, DENVER, CO 80205-2349
(720) 512-1139
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
162111052
CO
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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