MEDICARE: MAVERICK LIVING LTD.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1619827250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAVERICK LIVING LTD.

Provider Business Mailing Address
First Line	:	1525 W NEVADA PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-1905
Country	:	US
Telephone Number	:	435-258-8236
Fax Number	:	720-617-8008

Provider Business Practice Location Address
First Line	:	1525 W NEVADA PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-1905
Country	:	US
Telephone Number	:	435-258-8236
Fax Number	:	720-617-8008

Authorized Official
Title or Position	:	DIRECTOR
Name	:	STRATTON CAPUTO
Credential	:	BCBA
Telephone Number	:	435-258-8236

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “MAVERICK LIVING LTD. ” Practice Location

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