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General NPI Number Information
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NPI Number | 1801360581
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Entity Type | Individual
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Provider Name | KIRSTEN BROOKS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1500 N GRANT ST # 6266
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 866-949-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 OLD FREDERICKSBURG RD STE D101
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City | AUSTIN
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State | TX
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Zip | 78749-1210
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Country | US
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Telephone | 866-949-5060
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2625
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License Number State | TX
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