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Individual

AMAYA GRANADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
9107 W 6TH AVE, SUITE 600, LAKEWOOD, CO 80215
(720) 640-8322
Mailing address
12201 W 2ND PL APT 3207, LAKEWOOD, CO 80228-1558
(432) 557-7257

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
246572683229
CO

Other

Enumeration date
11/04/2024
Last updated
11/04/2024
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