Individual
CAROLYN LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13949 W COLFAX AVE STE 150, LAKEWOOD, CO 80401-3209
(720) 706-3396
Mailing address
700 E ELLSWORTH AVE APT 2, DENVER, CO 80209-2129
(714) 404-8989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147187637
PHONE NUMBER
CO
Enumeration date
06/13/2019
Last updated
11/20/2023
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