Individual
MICAELYN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-173351
CO
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
10/27/2021
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