Healthcare Provider Details

I. General information

NPI: 1639080120
Provider Name (Legal Business Name): ABIGAIL THERESA PARE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6855 S HAVANA ST
CENTENNIAL CO
80112-3837
US

IV. Provider business mailing address

17437 E RICE CIR UNIT A
AURORA CO
80015-1972
US

V. Phone/Fax

Practice location:
  • Phone: 720-896-4146
  • Fax:
Mailing address:
  • Phone: 303-815-6898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-378870
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: