Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-2046499 | CO |
N | 106E00000X | Assistant Behavior Analyst | 0-20-11283 | CO |
NPI | 1043726540 |
---|---|
Provider Name | Megan Cohen |
First Address | Colorado Springs, CO 80920-3104 |
Second Address | Colorado Springs, CO 80920-3104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2017 |
Last Update Date | 09/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1-20-46499 | BEHAVIOR ANALYST CERTIFICATION BOARD (01) |