Basic Information
| Provider Information | |||||||||
| NPI: | 1629509211 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANTOM | ||||||||
| FirstName: | HOPE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9781 PYRAMID CT | ||||||||
| Address2: | UNIT 2-115 | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80112 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 12650 E BRIARWOOD AVE | ||||||||
| Address2: | STE 207 | ||||||||
| City: | CENTENNIAL | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801126792 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204700578 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2017 | ||||||||
| LastUpdateDate: | 09/22/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-17-27167 | CO | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.