Individual
PATRICIA J SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1406 CENTAUR CIR, LAFAYETTE, CO 80026-1432
(720) 837-2348
(303) 554-5657
Mailing address
4377 E 118TH CT, THORNTON, CO 80233-1778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-09-3571
CO
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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