Individual
AMANDA RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6767 S SPRUCE ST, CENTENNIAL, CO 80112-1283
(303) 949-1529
Mailing address
11813 W 56TH CIR, ARVADA, CO 80002-1423
(303) 949-1529
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-19552
CO
Other
Enumeration date
12/20/2016
Last updated
12/22/2016
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