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NPI 1295320596 · Behavior Analyst · Bailey, CO
Provider details
- NPI number
- 1295320596
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Theresa Johnson, Owner(404) 643-3621
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
116 Bluebird Dr
Bailey, CO 80421-2004
Phone: (404) 643-3621
Approximate (ZIP-level) locationGet directions
Mailing address
116 Bluebird Dr
Bailey, CO 80421-2004
Registry dates
- Enumerated
- 2021-03-08
- Last updated
- 2025-10-05
- Certified
- 2025-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.