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General NPI Number Information
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NPI Number | 1083389795
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Entity Type | Individual
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Provider Name | KARLA ELIZABETH MARTINEZ GONZALEZ RBT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 5600 S QUEBEC ST STE 100C
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2210
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Country | US
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Telephone | 720-706-3396
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 S SYRACUSE ST UNIT 5309
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City | DENVER
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State | CO
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Zip | 80237-3673
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CO
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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 |
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License Number State |
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