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General NPI Number Information
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NPI Number | 1437503851
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Entity Type | Organization
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Legal Business Name | INNOVATIONS DEVELOPMENTAL SOLUTIONS
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 12286 UTICA ST
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City | BROOMFIELD
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State | CO
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Zip | 80020-5640
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Country | US
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Telephone | 360-624-8646
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Fax |
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Provider Business Mailing Address
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Address Line | 12286 UTICA ST
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City | BROOMFIELD
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State | CO
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Zip | 80020-5640
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Country | US
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Telephone | 360-624-8646
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE CHRISTMAS
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Credential | BCBA
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Telephone | 360-624-8646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-16665
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License Number State | CO
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