Blank Slate Behavior, Llc

LBN: Blank Slate Behavior, Llc
Blank Slate Behavior, Llc is an health care organization with primary practice located at 42 S Holman Way Apt 3F , Golden CO 80401-5155. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Blank Slate Behavior, Llc can be contacted via phone (303) 505-9906, or through Blankenship, Jennifer Lee via phone (303) 505-9906.

Contact Information

Primary practice address
42 S Holman Way Apt 3F Golden CO 80401-5155
Phone: (303) 505-9906
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blankenship, Jennifer Lee M.S.ED, BCBA
Phone: (303) 505-9906

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1558916015
LBN Legal business name Blank Slate Behavior, Llc
DBA Doing business as
Authorized official Blankenship, Jennifer Lee M.S.ED, BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2019
Last updated Aug 1st, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558916015 NPPES
Colorado MEDICAID 1811294408

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