Individual
LIANN NICOLE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S COLORADO BLVD, 860, DENVER, CO 80246-1253
(303) 322-9000
Mailing address
3262 E 103RD DR, 1811, THORNTON, CO 80229-8470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-08-2508
CA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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