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NPI Code Detail

MEDICARE: MICHELLE TE VELDE

MEDICARE: MICHELLE TE VELDE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1699052142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE TE VELDE
Provider Business Mailing Address
First Line : 6117 KOCHIA CT UNIT 101
Second Line :
City : FREDERICK
State : CO
Zip : 80516-9330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1865 W 121ST AVE STE 200
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-2337
Country : US
Telephone Number : 720-588-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2011
Last Update Date : 05/07/2022

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Directions to “ MICHELLE TE VELDE ” Practice Location

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