Provider Demographics
NPI:1518719038
Name:BETTS, MCKINSEY L
Entity Type:Individual
Prefix:
First Name:MCKINSEY
Middle Name:L
Last Name:BETTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MCKINSEY
Other - Middle Name:L
Other - Last Name:BETTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18100 E BAILS PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5323
Mailing Address - Country:US
Mailing Address - Phone:720-830-5407
Mailing Address - Fax:
Practice Address - Street 1:18100 E BAILS PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5323
Practice Address - Country:US
Practice Address - Phone:720-830-5407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician