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NPI Code Detail

MEDICARE: JARRETT AUSTIN DURANT

MEDICARE: JARRETT AUSTIN DURANT
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 Analyst1-25-83549CO
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1982261780
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARRETT AUSTIN DURANT
Provider Business Mailing Address
First Line : 9197 W 6TH AVE STE 1000
Second Line :
City : LAKEWOOD
State : CO
Zip : 80215-5109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8354 E NORTHFIELD BLVD UNIT 3300
Second Line :
City : DENVER
State : CO
Zip : 80238-3135
Country : US
Telephone Number : 720-961-3764
Fax Number : 720-442-0193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 09/08/2025

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