MEDICARE: MAIRA RIFAT

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		CO

General Provider Information

NPI Number	:	1548193626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAIRA RIFAT

Provider Business Mailing Address
First Line	:	17577 PINE LN APT 3306
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-6535
Country	:	US
Telephone Number	:	720-824-5444
Fax Number	:

Provider Business Practice Location Address
First Line	:	16830 NORTHGATE DR # 3306
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-5778
Country	:	US
Telephone Number	:	720-824-5444
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ MAIRA RIFAT ” Practice Location

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