MEDICARE: KEILYNN ARNOLD FERREIRA

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	103K00000X	Behavior Analyst	RBT-25-423310	CO

General Provider Information

NPI Number	:	1316826605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEILYNN ARNOLD FERREIRA

Provider Business Mailing Address
First Line	:	1900 S ACOMA ST UNIT 931
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-3986
Country	:	US
Telephone Number	:	919-457-7230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 S ACOMA ST UNIT 931
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-3986
Country	:	US
Telephone Number	:	919-457-7230
Fax Number	:

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

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	08/29/2025

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