Provider Demographics
NPI:1992355374
Name:LLUFRIO, CAROLYN ANNE (BCBA)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANNE
Last Name:LLUFRIO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 FILLMORE ST APT 205
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1578
Mailing Address - Country:US
Mailing Address - Phone:314-606-6203
Mailing Address - Fax:
Practice Address - Street 1:1600 FILLMORE ST APT 205
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1578
Practice Address - Country:US
Practice Address - Phone:314-606-6203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst