Provider Demographics
NPI:1437516226
Name:MY ACTIVE PEOPLE
Entity Type:Organization
Organization Name:MY ACTIVE PEOPLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:G
Authorized Official - Last Name:RABON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-840-1908
Mailing Address - Street 1:8730 MAD RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5707
Mailing Address - Country:US
Mailing Address - Phone:720-840-1908
Mailing Address - Fax:
Practice Address - Street 1:8730 MAD RIVER RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5707
Practice Address - Country:US
Practice Address - Phone:720-840-1908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services