Provider Demographics
NPI:1720485899
Name:TOMASH, J (BCBA-D, PHD)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:
Last Name:TOMASH
Suffix:
Gender:M
Credentials:BCBA-D, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 N OGDEN ST APT B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1426
Mailing Address - Country:US
Mailing Address - Phone:720-717-9009
Mailing Address - Fax:
Practice Address - Street 1:14707 E 2ND AVE # GL100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8965
Practice Address - Country:US
Practice Address - Phone:720-717-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-14-9600103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst