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Contact Information

ACTUALIZE BEHAVIOR ALTERNATIVES
5575 S SYCAMORE ST STE 108
LITTLETON, CO80120-1141
 Phone: 720-775-0151
 Fax: 302-265-9988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ACTUALIZE BEHAVIOR ALTERNATIVES · (Female)

NPI # 1902251705
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2016
Last updated 05/06/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # CSW.09923282
  • CO Medicaid 09255346
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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