Individual
DAISY M RUVALCABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
9197 W 6TH AVE STE 1000, LAKEWOOD, CO 80215-5109
(303) 233-3122
Mailing address
105 E 21ST AVE, LONGMONT, CO 80504-2038
(720) 204-0505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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