Provider Demographics
NPI:1538491477
Name:BIRKS, YVONNE MARIA (BCBA)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARIA
Last Name:BIRKS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:OZAROWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1575 PEREGRINE VISTA HTS
Mailing Address - Street 2:106
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-4127
Mailing Address - Country:US
Mailing Address - Phone:719-310-3870
Mailing Address - Fax:888-843-4496
Practice Address - Street 1:1575 PEREGRINE VISTA HTS
Practice Address - Street 2:106
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-4127
Practice Address - Country:US
Practice Address - Phone:719-310-3870
Practice Address - Fax:888-843-4496
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1-11-8922OtherBCBA CERTIFICATION