Aba at Legacy

NPI #1811322092 in Parker, Colorado

Provider Information

NPI Number: 1811322092
Entity Type: Organization
Organization Name: Aba at Legacy
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 6, 2013
Last Updated: Sep 6, 2013

Practice Location

Address: 19751 E. MAINSTREET STE. 215
City: Parker
State: Colorado
ZIP Code: 80138
Phone: (303) 841-4005

Authorized Official

Name: MOLLY WHITE, PH.D., BCBA-D
Title: CLINICAL DIRECTOR
Phone: (303) 841-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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