Provider Demographics
NPI:1942735410
Name:CHAPARRO MAILLET, CASSIE (BCBA)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:CHAPARRO MAILLET
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 1:10185 PARK MEADOWS DR
Mailing Address - Street 2:3-314
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-8420
Mailing Address - Country:US
Mailing Address - Phone:303-946-9397
Mailing Address - Fax:
Practice Address - Street 1:10185 PARK MEADOWS DR
Practice Address - Street 2:3-314
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-8420
Practice Address - Country:US
Practice Address - Phone:303-946-9397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-17-25497103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst