Individual
KASSI BALSBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12650 E BRIARWOOD AVE UNIT 207, CENTENNIAL, CO 80112-6792
(720) 470-0578
Mailing address
12650 E BRIARWOOD AVE UNIT 207, CENTENNIAL, CO 80112-6792
(720) 470-0578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40208
CO
106S00000X
Behavior Technician
RBT-17-39415
CO
Other
Enumeration date
09/05/2018
Last updated
04/08/2020
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