Individual
ALEXUS LACI PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 ARAPAHOE AVE STE 230, BOULDER, CO 80302-6752
(720) 432-4326
Mailing address
909 FIR AVE, FORT LUPTON, CO 80621-2429
(720) 421-7366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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