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NPI Code Detail

MEDICARE: DAMBARA GRAY

MEDICARE: DAMBARA GRAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1245162213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMBARA GRAY
Provider Business Mailing Address
First Line : 281 GRANBY WAY UNIT A
Second Line :
City : AURORA
State : CO
Zip : 80011-9149
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6312 S FIDDLERS GREEN CIR STE 300
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-4943
Country : US
Telephone Number : 385-494-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ DAMBARA GRAY ” Practice Location

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