Organization
BAKANCED FAMILY BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME NICOLE CLARK BCBA (BOARD CERTIFIED BEHAVIOR ANAYLST)
(303) 570-0233
Entity
Organization
Contact information
Practice address
2603 E 137TH AVE, THORNTON, CO 80602-7237
(303) 570-0233
Mailing address
2603 E 137TH AVE, THORNTON, CO 80602-7237
(303) 570-0233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11211853
CO
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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