Bailey Black
Behavior Technician in Denver, CO. Individual provider (NPI-1).
NPI number1730760596
StatusActive
Last updated in NPPESApr 14, 2021
Details
- NPI
- 1730760596
- Entity type
- Individual (NPI-1)
- Name
- Bailey Black
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2021
- Certification date
- Apr 14, 2021
- Last updated
- Apr 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
44 Union Blvd Ste 125Denver, CO 80228-1856
Phone 866-523-4268
Mailing address
44 Union Blvd Ste 125Lakewood, CO 80228-1856
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