Provider Demographics
NPI:1043515950
Name:ACEVEDO, MARICELA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MARICELA
Middle Name:
Last Name:ACEVEDO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 E DRY CREEK RD
Mailing Address - Street 2:E104
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2537
Mailing Address - Country:US
Mailing Address - Phone:866-300-0822
Mailing Address - Fax:303-600-9933
Practice Address - Street 1:7200 E DRY CREEK RD
Practice Address - Street 2:E104
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2537
Practice Address - Country:US
Practice Address - Phone:866-300-0822
Practice Address - Fax:303-600-9933
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-10-6958103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst