Individual
MAGGIE J TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 ARAPAHOE AVE STE 230, BOULDER, CO 80302-6752
(720) 432-4326
Mailing address
1728 N DOWNING ST, DENVER, CO 80218-1008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38419
CO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/09/2017
Last updated
07/22/2020
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