Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-14-16034 |
NPI | 1003316233 |
---|---|
Provider Name | Kristy Leigh Kojcsich |
First Address | Lakewood, CO 80227-2626 |
Second Address | Lakewood, CO 80227-2626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2018 |
Last Update Date | 14/02/2018 |