Macy Bronson

Individual provider Active NPI Behavior Technician · Denver, CO

NPI 1801464086 · NPPES record last updated Jun 15, 2021

Key facts

NPI
1801464086
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-171894 (CO)
Practice address
3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone
(479) 650-1835
Fax
(855) 913-2517
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-21-171894COMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-171894 CO Yes

Addresses

Primary practice location

3401 Quebec St Ste 3500
Denver, CO 80207-2339

Mailing address

3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (479) 650-1835

Other providers in Denver, CO

All providers in Denver, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.