Individual
KATHERINE ANN GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
201 JACKSON ST, DENVER, CO 80206-5524
(818) 241-6780
(818) 241-6853
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40543
CO
106S00000X
Behavior Technician
15-08512
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-40543
BCBA
CO
Enumeration date
08/31/2018
Last updated
07/15/2020
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