Healthcare Provider Details

I. General information

NPI: 1710526819
Provider Name (Legal Business Name): FAITH YONEUCHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAITH RUMINSKI

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MALLEY DR
NORTHGLENN CO
80233-1928
US

IV. Provider business mailing address

323 KNOBCONE DR UNIT 103
LOVELAND CO
80538-5724
US

V. Phone/Fax

Practice location:
  • Phone: 720-706-3396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-75985
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: