Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-52579 | CO |
N | 106E00000X | Assistant Behavior Analyst | 0-19-9827 | CO |
N | 106S00000X | Behavior Technician |
NPI | 1114434974 |
---|---|
Provider Name | James Harrison Gasbarro |
First Address | Lakewood, CO 80215-5520 |
Second Address | Lakewood, CO 80215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2018 |
Last Update Date | 30/08/2021 |