Individual
GRETCHEN NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1495 YARMOUTH AVE STE B, BOULDER, CO 80304-0673
(720) 771-0852
Mailing address
2 ADAMS ST APT 1406, DENVER, CO 80206-5727
(720) 755-2207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-236775
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-236775
BACB
—
Enumeration date
10/14/2022
Last updated
10/14/2022
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