Individual
BRADLEY D MELGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NONE
Contact information
Practice address
12015 E 46TH AVE STE 680, DENVER, CO 80239-3158
(303) 945-7063
(855) 568-2494
Mailing address
12015 E 46TH AVE STE 680, DENVER, CO 80239-3158
(303) 945-7063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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