MEDICARE: BEHR THERAPY LLC

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	1-16-238-32	CO

General Provider Information

NPI Number	:	1710426903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHR THERAPY LLC

Provider Business Mailing Address
First Line	:	3923 W 35TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1906
Country	:	US
Telephone Number	:	314-471-3641
Fax Number	:

Provider Business Practice Location Address
First Line	:	3923 W 35TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-1906
Country	:	US
Telephone Number	:	314-471-3641
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	KATHERINE BEHR
Credential	:
Telephone Number	:	314-471-3641

Provider Enumeration Date	:	02/21/2017
Last Update Date	:	02/21/2017

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Directions to “BEHR THERAPY LLC ” Practice Location

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