Healthcare Provider Details

I. General information

NPI: 1699693135
Provider Name (Legal Business Name): ROMA G. VELASCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 WANEKA PKWY
LAFAYETTE CO
80026-2759
US

IV. Provider business mailing address

2770 ARAPAHOE RD STE 132 PMB 767
LAFAYETTE CO
80026-8016
US

V. Phone/Fax

Practice location:
  • Phone: 720-825-2728
  • Fax:
Mailing address:
  • Phone: 720-825-2728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ROMA GRACE VELASCO
Title or Position: BCBA
Credential: BCBA
Phone: 720-825-2728