Mary Minicky

NPI #1023690286 in Evergreen, Colorado

Provider Information

NPI Number: 1023690286
Entity Type: Individual
Name: Mary Minicky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 26, 2021
Last Updated: Apr 26, 2021

Practice Location

Address: 3155 SNOW TRILLIUM WAY
City: Evergreen
State: Colorado
ZIP Code: 80439-9204
Phone: (720) 295-3790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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