Mariana Lack Avila

NPI #1003625369 in Aurora, Colorado

Provider Information

NPI Number: 1003625369
Entity Type: Individual
Name: Mariana Lack Avila
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 14707 E 2ND AVE UNIT GL100
City: Aurora
State: Colorado
ZIP Code: 80011-8965
Phone: (720) 206-9644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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