Healthcare Provider Details

I. General information

NPI: 1376464487
Provider Name (Legal Business Name): JOHN JOSEPH MONAHAN MA, BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 N LOGAN ST STE 600
DENVER CO
80203-3156
US

IV. Provider business mailing address

2818 CASCADE CREEK DR
LAFAYETTE CO
80026-8974
US

V. Phone/Fax

Practice location:
  • Phone: 720-213-6720
  • Fax:
Mailing address:
  • Phone: 720-213-6720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: