Provider Demographics
NPI:1306411483
Name:RADTKE, STEVEN (MA, BCBA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:RADTKE
Suffix:
Gender:M
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 1:1797 E 113TH PL
Mailing Address - Street 2:DENVER CO 80233-3225
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233
Mailing Address - Country:US
Mailing Address - Phone:570-814-7090
Mailing Address - Fax:
Practice Address - Street 1:1797 E 113TH PL # 80233
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-3225
Practice Address - Country:US
Practice Address - Phone:570-814-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst