MEDICARE: AGLEGRA ULIBARRI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1003634668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AGLEGRA ULIBARRI

Provider Business Mailing Address
First Line	:	951 20TH ST
Second Line	:	P.O. BOX 13096
City	:	DENVER
State	:	CO
Zip	:	80202-9998
Country	:	US
Telephone Number	:	720-316-8322
Fax Number	:	719-465-5280

Provider Business Practice Location Address
First Line	:	1925 BLAKE ST STE 200
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1289
Country	:	US
Telephone Number	:	720-316-8322
Fax Number	:	719-465-5280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

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Directions to “ AGLEGRA ULIBARRI ” Practice Location

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