Individual
GRACE KATHLEEN DIEVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8151 SOUTHPARK LN UNIT 100, LITTLETON, CO 80120-4502
(720) 617-1581
Mailing address
8151 SOUTHPARK LN UNIT 100, LITTLETON, CO 80120-4502
(720) 617-1581
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-273465
CO
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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