NPI Code Details Logo

NPI 1861319733

NPI 1861319733 : CROWN ABA COLORADO LLC : AURORA, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861319733
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CROWN ABA COLORADO LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/01/2026
-----------------------------------------------------
    Last Update Date     |    07/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    17200 E ILIFF AVE 
-----------------------------------------------------
    City                 |    AURORA
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80013-5833
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-995-8388
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    82 DE SIBIO PL STE 102-1126 
-----------------------------------------------------
    City                 |    INWOOD
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11096-1417
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-995-8388
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     ARI  LEVINE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    410-995-8388
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.