Individual
JENNIFER NACKERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9197 W 6TH AVE STE 1000, LAKEWOOD, CO 80215-5109
(303) 233-3122
Mailing address
2971 W 119TH AVE UNIT 101, WESTMINSTER, CO 80234-2492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43044
CO
Other
Enumeration date
05/22/2019
Last updated
08/13/2020
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