Organization
AZULA BEHAVIORAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA RIVERA BCBA (CLINICAL DIRECTOR/ OWNER)
(970) 235-1160
Entity
Organization
Contact information
Practice address
820 MEGAN UNIT A, RIFLE, CO 81650-4705
(970) 235-1160
(970) 808-2033
Mailing address
820 MEGAN UNIT A, RIFLE, CO 81650-4705
(970) 235-1160
(970) 808-2033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000190488
—
CO
Enumeration date
03/18/2024
Last updated
03/18/2024
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