MEDICARE: JESSEE CLAUSON BCBA, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	BCBA12585137	CO

General Provider Information

NPI Number	:	1649939521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSEE CLAUSON BCBA, MS

Provider Business Mailing Address
First Line	:	2553 31ST ST APT E205
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-4824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10170 CHURCH RANCH WAY
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-6058
Country	:	US
Telephone Number	:	720-706-3396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2021
Last Update Date	:	11/05/2025

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