Oscar Acevedo

Individual provider Active NPI Behavior Technician · Lakewood, CO

NPI 1508436940 · NPPES record last updated Jun 28, 2021

Key facts

NPI
1508436940
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
44 Union Blvd Ste 125
Lakewood, CO 80228-1856
Phone
(866) 523-4268
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

44 Union Blvd Ste 125
Lakewood, CO 80228-1856

Mailing address

600 S Dahlia Cir Apt K-108
Glendale, CO 80246-1366

Other providers in Lakewood, CO

All providers in Lakewood, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.