MEDICARE: STEPHEN TURK BCBA

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	1-18-29788	CO

General Provider Information

NPI Number	:	1871144576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN TURK BCBA

Provider Business Mailing Address
First Line	:	PO BOX 4804
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-4804
Country	:	US
Telephone Number	:	800-536-2340
Fax Number	:	303-957-2251

Provider Business Practice Location Address
First Line	:	106 ISABEL CT
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-9551
Country	:	US
Telephone Number	:	800-536-2340
Fax Number	:	303-957-2251

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

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	09/24/2019

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Directions to “ STEPHEN TURK BCBA” Practice Location

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