Provider Demographics
NPI:1790021640
Name:NAZARCHYK, DONNA (MSC, BCBA, LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:NAZARCHYK
Suffix:
Gender:F
Credentials:MSC, BCBA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21699 E QUINCY AVE UNIT F282
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2884
Mailing Address - Country:US
Mailing Address - Phone:808-234-4436
Mailing Address - Fax:
Practice Address - Street 1:21699 E QUINCY AVE UNIT F282
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2884
Practice Address - Country:US
Practice Address - Phone:808-234-4436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016376101Y00000X
HIMHC-655101YM0800X
103K00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst