Provider Demographics
NPI:1952186017
Name:KROMER-FUENTES, EMMA RAIN (BCBA)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:RAIN
Last Name:KROMER-FUENTES
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18801 E MAINSTREET STE 180
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3477
Mailing Address - Country:US
Mailing Address - Phone:682-218-8145
Mailing Address - Fax:
Practice Address - Street 1:18801 E MAINSTREET STE 180
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3477
Practice Address - Country:US
Practice Address - Phone:720-727-1738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-24-74108103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst