Healthcare Provider Details

I. General information

NPI: 1427978105
Provider Name (Legal Business Name): CARSEN SPURRELL BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARSEN KUNZMAN BCBA

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 WEST AVE UNIT 101
RIFLE CO
81650-2252
US

IV. Provider business mailing address

450 WEST AVE UNIT 101
RIFLE CO
81650-2252
US

V. Phone/Fax

Practice location:
  • Phone: 405-833-4969
  • Fax: 970-549-2874
Mailing address:
  • Phone: 405-833-4969
  • Fax: 970-549-2874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: