Healthcare Provider Details

I. General information

NPI: 1184530677
Provider Name (Legal Business Name): MR. AYI ROXAN LUCIANO D'ALMEIDA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 18TH ST APT 110
GREELEY CO
80631-5835
US

IV. Provider business mailing address

509 18TH ST APT 110
GREELEY CO
80631-5835
US

V. Phone/Fax

Practice location:
  • Phone: 970-405-3275
  • 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: