Individual
ALTAVES GEROD DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14950 W 64TH AVE STE C, ARVADA, CO 80007-8291
(315) 281-3287
Mailing address
2405 PALMER CIR, NORMAN, OK 73069-6349
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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