Individual
ANGEL MIA MOTISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 EL RANCHO RD, EVERGREEN, CO 80439-8238
(720) 295-3790
Mailing address
185 S ZANG WAY APT 302, LAKEWOOD, CO 80228-1974
(720) 385-9758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1759117
CO
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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