Individual
ADRIENNE INDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12503 E EUCLID DR STE 55, CENTENNIAL, CO 80111-6466
(303) 408-7043
Mailing address
9959 E PEAKVIEW AVE APT N104, ENGLEWOOD, CO 80111-6116
(303) 408-7043
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68349
CO
106S00000X
Behavior Technician
17-39935
CO
Other
Enumeration date
05/10/2018
Last updated
09/23/2023
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