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Individual

JARYD DORSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2450 S VINE ST, DENVER, CO 80210-5264
(303) 871-3736
Mailing address
55 COOK ST, DENVER, CO 80206-5876

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
EV9017857
EVOLVE
CA
Enumeration date
09/19/2020
Last updated
09/19/2020
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