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General NPI Number Information
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NPI Number | 1033586672
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Entity Type | Individual
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Provider Name | CRISTINA THEIS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2001 HOYT ST
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City | LAKEWOOD
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State | CO
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Zip | 80215-1639
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Country | US
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Telephone | 303-759-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 6815 S VERSAILLES WAY UNIT 103
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City | AURORA
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State | CO
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Zip | 80016-5433
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Country | US
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Telephone | 813-770-1379
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-15-6907
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-17-25267
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License Number State |
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