Individual
SEBASTIAN TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6312 S FIDDLERS GREEN CIR STE 300E, GREENWOOD VILLAGE, CO 80111-4831
(954) 812-2990
Mailing address
6312 S FIDDLERS GREEN CIR STE 300E, GREENWOOD VILLAGE, CO 80111-4831
(954) 812-2990
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
351041
CO
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-17-38021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000145075
—
CO
Enumeration date
03/10/2016
Last updated
02/24/2026
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