Provider Demographics
NPI:1790268142
Name:PEASON, CARMEN CHELSEA (BCBA)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:CHELSEA
Last Name:PEASON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 BLAKE ST STE 220
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4889
Mailing Address - Country:US
Mailing Address - Phone:303-588-1472
Mailing Address - Fax:
Practice Address - Street 1:3501 BLAKE ST STE 220
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4889
Practice Address - Country:US
Practice Address - Phone:303-588-1472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician