Healthcare Provider Details

I. General information

NPI: 1801207311
Provider Name (Legal Business Name): MAURICIO YABAR MSW, M.ED.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 08/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1646 ELMIRA STREET
AURORA CO
80010
US

IV. Provider business mailing address

11059 E. BETHANY DRIVE
AURORA CO
80014
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-2300
  • Fax: 303-617-2365
Mailing address:
  • Phone: 303-617-2300
  • Fax: 303-617-2365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09923642
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: