Individual
MARCUS VINCENT WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1335 LIPAN ST, DENVER, CO 80204-2530
(970) 366-9159
Mailing address
1335 LIPAN ST, DENVER, CO 80204-2530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CO
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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