Healthcare Provider Details

I. General information

NPI: 1871412882
Provider Name (Legal Business Name): GISELLE CARPENTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 MELODY DR STE 100
NORTHGLENN CO
80234-4123
US

IV. Provider business mailing address

7467 E 159TH PL
THORNTON CO
80602-8321
US

V. Phone/Fax

Practice location:
  • Phone: 720-872-6472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: