Healthcare Provider Details

I. General information

NPI: 1144023466
Provider Name (Legal Business Name): MICHELLE BAEHRING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 INVERNESS CIR E
ENGLEWOOD CO
80112-5304
US

IV. Provider business mailing address

1235 N WASHINGTON ST APT 26
DENVER CO
80203-5209
US

V. Phone/Fax

Practice location:
  • Phone: 720-961-3764
  • Fax:
Mailing address:
  • Phone: 970-804-5367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: