Provider Demographics
NPI:1396982724
Name:NIVEN, SHERI (BCBA)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:NIVEN
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 1:5941 SANTANA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-7640
Mailing Address - Country:US
Mailing Address - Phone:719-232-3498
Mailing Address - Fax:
Practice Address - Street 1:3535 PARKMOOR VILLAGE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5292
Practice Address - Country:US
Practice Address - Phone:719-232-3498
Practice Address - Fax:719-325-8994
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0-08-2632103K00000X
CO1-15-18562103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst