MEDICARE: HOPSCOTCH ABA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1215811526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPSCOTCH ABA

Provider Business Mailing Address
First Line	:	1590 WINONA CT. DENVER CO 80204
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1590 WINONA CT. DENVER CO 80204
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204
Country	:	US
Telephone Number	:	424-302-2400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHANA GONSKY
Credential	:
Telephone Number	:	424-302-2400

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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