Healthcare Provider Details

I. General information

NPI: 1609769249
Provider Name (Legal Business Name): CREATIVE STEPS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 S VAUGHN WAY STE 640
AURORA CO
80014-3514
US

IV. Provider business mailing address

1365 XAVIER ST
DENVER CO
80204-1019
US

V. Phone/Fax

Practice location:
  • Phone: 303-547-9784
  • Fax:
Mailing address:
  • Phone: 949-636-3962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JESSICA B DILLARD
Title or Position: CEO
Credential: MS, BCBA
Phone: 949-636-3962