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NPI Code Detail

MEDICARE: AMAJANAE SIMONE MCINTOSH

MEDICARE:   AMAJANAE SIMONE MCINTOSH
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
1106S00000XBehavior TechnicianRBT-24-372390CO

General Provider Information

NPI Number : 1285587105
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAJANAE SIMONE MCINTOSH
Provider Business Mailing Address
First Line : 5500 TELLURIDE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-7769
Country : US
Telephone Number : 303-392-6868
Fax Number :
Provider Business Practice Location Address
First Line : 5500 TELLURIDE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-7769
Country : US
Telephone Number : 303-392-6868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ AMAJANAE SIMONE MCINTOSH ” Practice Location

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