Individual
BREZANE HEAVEN RUIZ-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 S BLACKHAWK ST # 101, AURORA, CO 80014-1487
(720) 545-0768
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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