Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-18-8781 | CO |
NPI | 1114324555 |
---|---|
Provider Name | Natalia Pataquiva |
First Address | Aurora, CO 80013-2222 |
Second Address | Lakewood, CO 80226-2261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2014 |
Last Update Date | 23/08/2021 |