Provider Demographics
NPI:1578197166
Name:JAMES, LINDSEY RAE (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:RAE
Last Name:JAMES
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 1:1133 N WILSON AVE # E104
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4481
Mailing Address - Country:US
Mailing Address - Phone:214-690-6050
Mailing Address - Fax:
Practice Address - Street 1:1044 W DRAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-3079
Practice Address - Country:US
Practice Address - Phone:970-305-8642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-20-40612103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-20-40612OtherBEHAVIOR ANALYST CERTIFICATION BOARD
TX3273OtherSTATE LICENSE