Organization
COLORADO ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANN ALEIGH GONZALEZ (CLINICAL DIRECTOR)
(303) 997-0305
Entity
Organization
Contact information
Practice address
8671 WOLFF CT STE 150, WESTMINSTER, CO 80031-3771
(303) 997-0305
Mailing address
8671 WOLFF CT STE 150, WESTMINSTER, CO 80031-3771
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000145075
—
CO
05
—
9000172980
—
CO
Enumeration date
03/15/2022
Last updated
06/09/2022
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