Healthcare Provider Details

I. General information

NPI: 1659286102
Provider Name (Legal Business Name): CINDY LOUISE GAINES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 MAPLE ST STE 101A
FLORENCE CO
81226-1443
US

IV. Provider business mailing address

7774 W TRAIL SOUTH DR
LITTLETON CO
80125-9512
US

V. Phone/Fax

Practice location:
  • Phone: 720-755-2207
  • Fax:
Mailing address:
  • Phone: 720-755-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-388812
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: