Healthcare Provider Details

I. General information

NPI: 1750212916
Provider Name (Legal Business Name): PLURABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 CHESTNUT PL APT 429
DENVER CO
80202-6033
US

IV. Provider business mailing address

1801 CHESTNUT PL APT 429
DENVER CO
80202-6033
US

V. Phone/Fax

Practice location:
  • Phone: 561-310-4745
  • Fax:
Mailing address:
  • Phone: 561-310-4745
  • 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: MISS SHANNON K BURNICK
Title or Position: BCBA/OWNER
Credential: BURNICK
Phone: 561-310-4745