Organization
REVEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HILL BCBA (EXECUTIVE DIRECTOR)
(720) 207-7166
Entity
Organization
Contact information
Practice address
1728 N DOWNING ST, DENVER, CO 80218-1008
(720) 207-7166
Mailing address
1728 N DOWNING ST, DENVER, CO 80218-1008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12894
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
CO
Other
Enumeration date
11/07/2017
Last updated
03/17/2018
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