Provider Demographics
NPI:1164010146
Name:COPELAND, AARON (BCBA)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:COPELAND
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 771824
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-1824
Mailing Address - Country:US
Mailing Address - Phone:970-870-4263
Mailing Address - Fax:
Practice Address - Street 1:2201 CURVE PLZ UNIT A-105
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5194
Practice Address - Country:US
Practice Address - Phone:970-870-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-14-17145103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst