Organization
ABA AT LEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY WHITE PH.D., BCBA-D (CLINICAL DIRECTOR)
(303) 841-4005
Entity
Organization
Contact information
Practice address
19751 E. MAINSTREET STE. 215, PARKER, CO 80138
(303) 841-4005
Mailing address
19751 E. MAINSTREET STE. 215, PARKER, CO 80138
(303) 841-4005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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