Individual
MIKAYLA MASANETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2906 GINNALA DRIVE, LOVELAND, CO 80538
(303) 989-8169
Mailing address
2906 GINNALA DRIVE, LOVELAND, CO 80538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/06/2020
Last updated
04/22/2024
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