Individual
ARCHIE WAYNE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 W 33RD AVE, DENVER, CO 80211-3231
(303) 433-3944
Mailing address
4441 MEADE ST, DENVER, CO 80211-1363
(720) 298-1658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3975
MHCD
CO
Enumeration date
07/31/2013
Last updated
07/31/2013
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