Individual
TINA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 S PARKER RD STE 100, DENVER, CO 80231-5734
(720) 706-3396
Mailing address
10694 E ASBURY AVE APT 106, AURORA, CO 80014-1072
(714) 930-6866
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62676
CO
Other
Enumeration date
08/23/2021
Last updated
07/12/2024
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