Individual
DEQUINCY BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
397 RIDGES BLVD, GRAND JUNCTION, CO 81507-4617
(970) 313-7175
Mailing address
397 RIDGES BLVD, GRAND JUNCTION, CO 81507-4617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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