Healthcare Provider Details

I. General information

NPI: 1295509081
Provider Name (Legal Business Name): EMILY CUE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023
Certification Date: 11/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 S BROADWAY
ENGLEWOOD CO
80113-5724
US

IV. Provider business mailing address

4550 S BROADWAY
ENGLEWOOD CO
80113-5724
US

V. Phone/Fax

Practice location:
  • Phone: 303-653-1973
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: