Individual
MR. EDWARD TODD ADDLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
12331 E CORNELL AVE, AURORA, CO 80014-3323
(720) 507-5226
(720) 368-5139
Mailing address
12331 E CORNELL AVE, AURORA, CO 80014-3323
(720) 507-5226
(720) 368-5139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14959046
—
CO
Enumeration date
09/11/2013
Last updated
08/30/2021
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