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Individual

DERIA LARAE BOYKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3131 S VAUGHN WAY STE 110, AURORA, CO 80014-3501
(303) 755-5534
Mailing address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
(719) 597-0822

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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