Healthcare Provider Details

I. General information

NPI: 1306767397
Provider Name (Legal Business Name): DAKOTA OHIYESA HRABOWY BS, RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2905 INCA ST UNIT 1095
DENVER CO
80202-1955
US

IV. Provider business mailing address

2905 INCA ST UNIT 1095
DENVER CO
80202-1955
US

V. Phone/Fax

Practice location:
  • Phone: 234-201-4772
  • Fax:
Mailing address:
  • Phone: 234-201-4772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-524062
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: