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General NPI Number Information
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NPI Number | 1619827250
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Entity Type | Organization
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Legal Business Name | MAVERICK LIVING LTD.
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1525 W NEVADA PL
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City | DENVER
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State | CO
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Zip | 80223-1905
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Country | US
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Telephone | 435-258-8236
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Fax | 720-617-8008
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Provider Business Mailing Address
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Address Line | 1525 W NEVADA PL
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City | DENVER
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State | CO
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Zip | 80223-1905
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Country | US
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Telephone | 435-258-8236
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Fax | 720-617-8008
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Authorized Official
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Title or Position | DIRECTOR
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Name | STRATTON CAPUTO
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Credential | BCBA
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Telephone | 435-258-8236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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