Provider Demographics
NPI:1346654654
Name:BARBAT, COSMINA IOANA (BCBA)
Entity Type:Individual
Prefix:
First Name:COSMINA
Middle Name:IOANA
Last Name:BARBAT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 BEECH CT
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1684
Mailing Address - Country:US
Mailing Address - Phone:303-332-6115
Mailing Address - Fax:
Practice Address - Street 1:3205 BEECH CT
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1684
Practice Address - Country:US
Practice Address - Phone:303-332-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-13-12870103K00000X
CO115208103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool