Healthcare Provider Details

I. General information

NPI: 1700795267
Provider Name (Legal Business Name): BRITTANY BRAJANNA HENDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1682 EAGLE ST
AURORA CO
80011-4498
US

IV. Provider business mailing address

1682 EAGLE ST 1-209
AURORA CO
80011-4498
US

V. Phone/Fax

Practice location:
  • Phone: 385-494-3500
  • Fax: 385-494-3503
Mailing address:
  • Phone: 385-494-3500
  • Fax: 385-494-3503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-468675
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: