Provider Demographics
NPI:1659772325
Name:LEDEBUHR, ROBYN (BCBA)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:LEDEBUHR
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:
Other - Last Name:SCHAEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4000 S WADSWORTH BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1353
Mailing Address - Country:US
Mailing Address - Phone:303-986-4587
Mailing Address - Fax:
Practice Address - Street 1:4000 S WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1353
Practice Address - Country:US
Practice Address - Phone:858-344-3547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-12-10387103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1-12-10387OtherBCBA