Healthcare Provider Details

I. General information

NPI: 1194233551
Provider Name (Legal Business Name): CHEYENNE FREY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 N SHERMAN ST STE 200
DENVER CO
80203-1132
US

IV. Provider business mailing address

7820 CONIFER DR
COLORADO SPRINGS CO
80920-4526
US

V. Phone/Fax

Practice location:
  • Phone: 720-784-4994
  • Fax:
Mailing address:
  • Phone: 719-651-7988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-43910
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: