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NPI Code Detail

MEDICARE: CASSANDRA ADELMAN M.ED, BCBA

MEDICARE: CASSANDRA ADELMAN M.ED, BCBA
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
1103K00000XBehavior Analyst1-19-35658

General Provider Information

NPI Number : 1225539380
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA ADELMAN M.ED, BCBA
Provider Business Mailing Address
First Line : 1777 S HARRISON ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80210-3957
Country : US
Telephone Number : 720-706-3396
Fax Number :
Provider Business Practice Location Address
First Line : 1777 S HARRISON ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80210-3957
Country : US
Telephone Number : 720-706-3396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2018
Last Update Date : 08/27/2024

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