Healthcare Provider Details

I. General information

NPI: 1083538920
Provider Name (Legal Business Name): DEVIN RUOT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16401 E CENTRETECH PKWY STE 2
AURORA CO
80011-9066
US

IV. Provider business mailing address

1121 PONDEROSA DR
FORT COLLINS CO
80521-4142
US

V. Phone/Fax

Practice location:
  • Phone: 720-706-3396
  • Fax:
Mailing address:
  • Phone: 860-459-7703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: