Healthcare Provider Details

I. General information

NPI: 1508788514
Provider Name (Legal Business Name): C AND G THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST # 11340
DENVER CO
80203-1859
US

IV. Provider business mailing address

1500 N GRANT ST
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 732-569-4469
  • Fax:
Mailing address:
  • Phone: 732-569-4469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. RUTH GLUCK
Title or Position: OWNER
Credential: BCBA
Phone: 303-483-7833