Healthcare Provider Details

I. General information

NPI: 1982261780
Provider Name (Legal Business Name): JARRETT AUSTIN DURANT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8354 E NORTHFIELD BLVD UNIT 3300
DENVER CO
80238-3135
US

IV. Provider business mailing address

9197 W 6TH AVE STE 1000
LAKEWOOD CO
80215-5109
US

V. Phone/Fax

Practice location:
  • Phone: 720-961-3764
  • Fax: 720-442-0193
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-83549
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: