Individual
BRIAN LARA-RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7220 W JEFFERSON AVE STE 100, LAKEWOOD, CO 80235-2015
(767) 330-3225
Mailing address
908 S QUITMAN ST, DENVER, CO 80219-3225
(303) 915-6005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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