Individual
KIMBERLY D'ADDARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12331 E CORNELL AVE, AURORA, CO 80014-3323
(720) 507-5226
Mailing address
12331 E CORNELL AVE, AURORA, CO 80014-3323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55540
CO
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-18-62913
CO
Other
Enumeration date
01/15/2020
Last updated
08/03/2022
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