Steefy Anggraeni

Individual provider Active NPI Behavior Technician · Northglenn, CO

NPI 1720699770 · NPPES record last updated Aug 13, 2020

Key facts

NPI
1720699770
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
11698 Huron St
Suite 106
Northglenn, CO 80234-2920
Phone
(303) 989-8169
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

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

11698 Huron St
Suite 106
Northglenn, CO 80234-2920

Mailing address

11698 Huron St
Suite 106
Northglenn, CO 80234-2920

Other providers in Northglenn, CO

All providers in Northglenn, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.