Organization
WEST SIDE BEHAVIORAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE KATHLEEN PEARSON PSYD, BCBA-D (PRESIDENT)
(201) 788-6619
Entity
Organization
Contact information
Practice address
7935 E PRENTICE AVE STE 104, GREENWOOD VILLAGE, CO 80111-2711
(201) 788-6619
Mailing address
223 S LAFAYETTE ST, DENVER, CO 80209-2523
(201) 788-6619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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