Provider Demographics
NPI:1598296501
Name:O'LAUGHLIN, JILLIAN
Entity Type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:
Last Name:O'LAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 S LOWELL BLVD
Mailing Address - Street 2:APT 10-306
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-2400
Mailing Address - Country:US
Mailing Address - Phone:720-427-2725
Mailing Address - Fax:
Practice Address - Street 1:3400 S LOWELL BLVD
Practice Address - Street 2:APT 10-306
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-2400
Practice Address - Country:US
Practice Address - Phone:720-427-2725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst