Provider Demographics
NPI:1134573371
Name:BASHON, ROBIN (MA, BCBA)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BASHON
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 GUNNISON AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3222
Mailing Address - Country:US
Mailing Address - Phone:970-335-9727
Mailing Address - Fax:
Practice Address - Street 1:740 GUNNISON AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3222
Practice Address - Country:US
Practice Address - Phone:970-335-9727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-15-19466103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst