Provider Demographics
NPI:1073264719
Name:WEROCSY, ANIA (RBT)
Entity Type:Individual
Prefix:
First Name:ANIA
Middle Name:
Last Name:WEROCSY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 DISCOVERY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8637
Mailing Address - Country:US
Mailing Address - Phone:469-294-4445
Mailing Address - Fax:972-373-4747
Practice Address - Street 1:500 DISCOVERY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8637
Practice Address - Country:US
Practice Address - Phone:469-294-4445
Practice Address - Fax:972-373-4747
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORBT-22-198978106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician