Provider Demographics
NPI:1346862208
Name:VANPELT, SENA RENE
Entity Type:Individual
Prefix:
First Name:SENA
Middle Name:RENE
Last Name:VANPELT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SENA
Other - Middle Name:RENE
Other - Last Name:HOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21887 WAY OF PEACE
Mailing Address - Street 2:
Mailing Address - City:DEER TRAIL
Mailing Address - State:CO
Mailing Address - Zip Code:80105-7943
Mailing Address - Country:US
Mailing Address - Phone:660-353-9147
Mailing Address - Fax:
Practice Address - Street 1:7220 W JEFFERSON AVE STE 202
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2023
Practice Address - Country:US
Practice Address - Phone:303-225-7673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician