Individual
DEJZA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2209 20TH STREET RD, GREELEY, CO 80631-6708
(720) 418-0646
Mailing address
2209 20TH STREET RD, GREELEY, CO 80631-6708
(720) 418-0646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-238183
CO
Other
Enumeration date
10/07/2022
Last updated
09/24/2024
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