Provider Demographics
NPI:1164026720
Name:DUNNE, AMELIA M (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:M
Last Name:DUNNE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 ACOMA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-1546
Mailing Address - Country:US
Mailing Address - Phone:440-708-4364
Mailing Address - Fax:
Practice Address - Street 1:6900 W JEFFERSON AVE STE 100A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2040
Practice Address - Country:US
Practice Address - Phone:303-586-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-20-46131103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst