Individual
SHERWIN FAZELPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 AURORA CT FL 3, AURORA, CO 80045-2517
(720) 848-0500
Mailing address
1665 AURORA CT FL 3, AURORA, CO 80045-2517
(720) 848-0500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/21/2025
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