Healthcare Provider Details

I. General information

NPI: 1194362038
Provider Name (Legal Business Name): EMILY COATES MA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY PADUCH MA, BCBA

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12303 E 104TH PL UNIT 105
COMMERCE CITY CO
80022-2098
US

IV. Provider business mailing address

12303 E 104TH PL UNIT 105
COMMERCE CITY CO
80022-2098
US

V. Phone/Fax

Practice location:
  • Phone: 720-642-7019
  • Fax:
Mailing address:
  • Phone: 720-642-7019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-64629
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: