Healthcare Provider Details

I. General information

NPI: 1699364612
Provider Name (Legal Business Name): AMEL KHALIFE MS, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7562 S UNIVERSITY BLVD STE FF
CENTENNIAL CO
80122-3161
US

IV. Provider business mailing address

1649 61ST ST FL 3013
BROOKLYN NY
11204-2746
US

V. Phone/Fax

Practice location:
  • Phone: 720-372-2659
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-81032
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: