Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-19-39471 | CO |
N | 106E00000X | Assistant Behavior Analyst | 0-17-7931 | CO |
NPI | 1073984811 |
---|---|
Provider Name | Jillian Leigh Kramer |
First Address | Denver, CO 80218 |
Second Address | Denver, CO 80205-2406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2015 |
Last Update Date | 31/03/2020 |