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Individual

BRYAN AVILES ALVARADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12331 E CORNELL AVE, AURORA, CO 80014-3323
(720) 507-5226
(720) 368-5139
Mailing address
12331 E CORNELL AVE, AURORA, CO 80014-3323
(720) 507-5226
(720) 368-5139

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
663907
CO

Other

Enumeration date
06/21/2021
Last updated
06/21/2021
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