MEDICARE: VALERIA AQUINO DENOVA

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		CO

General Provider Information

NPI Number	:	1972492502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIA AQUINO DENOVA

Provider Business Mailing Address
First Line	:	2160 HAZEY VW APT 104
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-5364
Country	:	US
Telephone Number	:	719-217-9275
Fax Number	:	719-217-9275

Provider Business Practice Location Address
First Line	:	1015 GARDEN OF THE GODS RD STE A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-3432
Country	:	US
Telephone Number	:	719-354-5297
Fax Number	:	719-960-2712

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

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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Directions to “ VALERIA AQUINO DENOVA ” Practice Location

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