Healthcare Provider Details

I. General information

NPI: 1285553362
Provider Name (Legal Business Name): DREW DUFFY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3128 E MAPLEWOOD AVE
CENTENNIAL CO
80121-2860
US

IV. Provider business mailing address

3128 E MAPLEWOOD AVE
CENTENNIAL CO
80121-2860
US

V. Phone/Fax

Practice location:
  • Phone: 303-565-2833
  • Fax:
Mailing address:
  • Phone:
  • 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: