Provider Demographics
NPI:1962397976
Name:BARISH, CANDACE RAE (RBT)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:RAE
Last Name:BARISH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2282 CASTLEGATE DR N APT 1122
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8348
Mailing Address - Country:US
Mailing Address - Phone:720-707-8516
Mailing Address - Fax:
Practice Address - Street 1:2282 CASTLEGATE DR N APT 1122
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-8348
Practice Address - Country:US
Practice Address - Phone:720-707-8516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORBT-24-394206103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst