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NPI 1962323634

NPI 1962323634 : ABRIANA TRAVIS : AURORA, CO

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General NPI Number Information
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    NPI Number           |    1962323634
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    Entity Type          |    Individual 
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    Provider Name        |    ABRIANA TRAVIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2026
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    Last Update Date     |    07/21/2026
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Provider Practice Location Address
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    Address Line         |    3131 S VAUGHN WAY STE 110 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80014-3501
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    Country              |    US
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    Telephone            |    720-301-0227
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1175 ALBION ST APT 119 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80220-2367
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    Country              |    US
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    Telephone            |    720-301-0227
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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       |    1484177
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    License Number State |    CO
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