Emmalee Marie Ketchum

NPI #1073262077 in Littleton, Colorado

Provider Information

NPI Number: 1073262077
Entity Type: Individual
Name: Emmalee Marie Ketchum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 18, 2022
Last Updated: Mar 18, 2022

Practice Location

Address: 8151 SOUTHPARK LN UNIT 100
City: Littleton
State: Colorado
ZIP Code: 80120-4502
Phone: (720) 617-1581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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