Jacob Frick, M.A. BCBA
Individual provider Active NPI Behavior Analyst · Brush, CO
NPI 1831691674 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1831691674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-24-76048 (CO)
- Practice address
- 315 Edison St
Brush, CO 80723-2127 - Phone
- (720) 272-1289
- NPI assigned
- Mar 7, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants for Children, Inc | Behavior Analyst | Current |
Accepting new patients |
Locations
315 Edison St
Brush, CO 80723
265 S Harlan St
Lakewood, CO 80226
Phone (720) 982-4179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-24-76048 | CO | Yes |
Addresses
Primary practice location
315 Edison St
Brush, CO 80723-2127
Mailing address
265 S Harlan St
Lakewood, CO 80226-2261
Phone (720) 272-1289
Other providers in Brush, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.