Provider Demographics
NPI:1588372932
Name:HAJEK, JAIMA ROSE (BCBA, SLP-A)
Entity type:Individual
Prefix:
First Name:JAIMA
Middle Name:ROSE
Last Name:HAJEK
Suffix:
Gender:F
Credentials:BCBA, SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 S GROVE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-2016
Mailing Address - Country:US
Mailing Address - Phone:224-567-2799
Mailing Address - Fax:
Practice Address - Street 1:3501 BLAKE ST STE 220
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4889
Practice Address - Country:US
Practice Address - Phone:720-524-3975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO243919502355S0801X
CO1-22-61925103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant