Individual
MRS. MELLISA NICOLE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 W 121ST AVE, WESTMINSTER, CO 80234-2326
(720) 558-1500
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45482
CO
106S00000X
Behavior Technician
00005205
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992204820
—
CO
Enumeration date
02/06/2018
Last updated
09/06/2023
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