Individual
GRACE ELLEN WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
14950 W 64TH AVE STE C, ARVADA, CO 80007-8291
(720) 642-7019
Mailing address
439 HICKORY ST, BROOMFIELD, CO 80020-2904
(801) 259-7973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32302
CO
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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