MEDICARE: KIRSTEN ARBOGAST MT-BC, 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
1	103K00000X	Behavior Analyst	1-24-70686	CO
2	225X00000X	Occupational Therapist	12632	CO
3	103K00000X	Behavior Analyst		CO
4	174400000X	Specialist		CO

General Provider Information

NPI Number	:	1306385026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN ARBOGAST MT-BC, BCBA

Provider Business Mailing Address
First Line	:	PO BOX 4721
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-4721
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 E. MAIN STREET
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-2213
Country	:	US
Telephone Number	:	720-584-8055
Fax Number	:	303-957-2251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	05/21/2026

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