Healthcare Provider Details

I. General information

NPI: 1154243467
Provider Name (Legal Business Name): DANIELA VASTI GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S COLORADO BLVD
DENVER CO
80246-1904
US

IV. Provider business mailing address

1021 GLEN DALE CIR
DACONO CO
80514-9655
US

V. Phone/Fax

Practice location:
  • Phone: 720-440-8036
  • Fax:
Mailing address:
  • Phone: 720-928-8465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-485903
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: