Individual
NICOLE RAE SERPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
12015 E 46TH AVE STE 680, DENVER, CO 80239-3158
(303) 945-7063
(855) 568-2494
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73633
CO
Other
Enumeration date
07/29/2021
Last updated
06/25/2024
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