Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | CO | |
N | 106E00000X | Assistant Behavior Analyst | CO | |
Y | 106S00000X | Behavior Technician | CO |
NPI | 1154989481 |
---|---|
Provider Name | Mariah Hutcheson |
First Address | Lakewood, CO 80228-6514 |
Second Address | Colorado Springs, CO 80918-3446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2019 |
Last Update Date | 01/06/2019 |