Individual
MISS JAIME LYN FORNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2224 SOUTH FRAISER STREET, UNIT 6, AURORA, CO 80014
(720) 584-8055
(303) 957-2251
Mailing address
950 N LAFAYETTE ST, # 405, DENVER, CO 80218-3162
(720) 470-9239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7086
CO
Other
Enumeration date
11/30/2012
Last updated
12/15/2016
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