Individual
BAILEY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 UNION BLVD STE 125, DENVER, CO 80228-1856
(866) 523-4268
Mailing address
44 UNION BLVD STE 125, LAKEWOOD, CO 80228-1856
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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