Healthcare Provider Details

I. General information

NPI: 1649082017
Provider Name (Legal Business Name): KATHERINE THATCHER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LAWRENCE STREET
DENVER CO
80205
US

IV. Provider business mailing address

18799 E 65TH AVE APT 2202
DENVER CO
80249-7818
US

V. Phone/Fax

Practice location:
  • Phone: 303-418-4423
  • Fax:
Mailing address:
  • Phone: 719-440-9757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-78923
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: