Healthcare Provider Details

I. General information

NPI: 1881100923
Provider Name (Legal Business Name): TALIA LILLIAN SCHAUDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2017
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 W NEVADA PL
DENVER CO
80223-1905
US

IV. Provider business mailing address

1552 XAVIER ST APT 305
DENVER CO
80204-1134
US

V. Phone/Fax

Practice location:
  • Phone: 720-557-5148
  • Fax:
Mailing address:
  • Phone: 858-774-4225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2854435
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: