Individual
DEZART STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 EL RANCHO RD, EVERGREEN, CO 80439-8238
(720) 295-3790
Mailing address
PO BOX 394, DUMONT, CO 80436-0394
(720) 219-1036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/01/2022
Last updated
03/01/2026
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