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Individual

KIM WENDOLLYN YADIRA MONTANO ZELEDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12213 PECOS ST STE 200, WESTMINSTER, CO 80234-3414
(720) 459-7493
Mailing address
1031 E 91ST AVE, THORNTON, CO 80229-7707
(720) 454-9828

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52922
CO
106S00000X
Behavior Technician

Other

Enumeration date
06/29/2018
Last updated
09/01/2021
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