| Michelle Kerska, Bcba, Pc | |
|
7220 W Jefferson Ave 401 Lakewood CO 80235-2031 | |
| (858) 531-0804 | |
| Not Available |
| Full Name | Michelle Kerska, Bcba, Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7220 W Jefferson Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Michelle Kerska (OWNER) |
| Authorized Official Contact | 8585310804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Kerska, Bcba, Pc 7220 W Jefferson Ave 401 Lakewood CO 80235-2031 Ph: (858) 531-0804 | Michelle Kerska, Bcba, Pc 7220 W Jefferson Ave 401 Lakewood CO 80235-2031 Ph: (858) 531-0804 |
| NPI Number | 1760859656 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760859656 | NPI | - | NPPES |
| 67775233 | Other | CO | MEDICAID HCBS WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1073382 (California) | Primary |
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