Individual
JACOB FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. BCBA
Contact information
Practice address
315 EDISON ST, BRUSH, CO 80723-2127
(720) 272-1289
Mailing address
265 S HARLAN ST, LAKEWOOD, CO 80226-2261
(720) 272-1289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76048
CO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/07/2018
Last updated
10/02/2024
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