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Individual

MARY BOYAJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
11698 HURON ST, SUITE 106, NORTHGLENN, CO 80234-2920
(303) 989-8169
Mailing address
11698 HURON ST, SUITE 106, NORTHGLENN, CO 80234-2920

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75589
CO
106S00000X
Behavior Technician

Other

Enumeration date
10/13/2020
Last updated
09/11/2024
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