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NPI Code Detail

MEDICARE: HARLEE CAICEDO BCBA

MEDICARE: HARLEE CAICEDO 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
1103K00000XBehavior Analyst
2103K00000XBehavior Analyst1-18-34149CA

General Provider Information

NPI Number : 1982069266
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARLEE CAICEDO BCBA
Provider Business Mailing Address
First Line : 1035 EL RANCHO RD
Second Line :
City : EVERGREEN
State : CO
Zip : 80439-8238
Country : US
Telephone Number : 720-295-3790
Fax Number : 877-400-4480
Provider Business Practice Location Address
First Line : 1035 EL RANCHO RD
Second Line :
City : EVERGREEN
State : CO
Zip : 80439-8238
Country : US
Telephone Number : 720-295-3790
Fax Number : 877-400-4480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 04/06/2023

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Directions to “ HARLEE CAICEDO BCBA” Practice Location

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