IndividualActive
Tayvon Shazier
NPI 1023463650 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Aurora, CO
Provider details
- NPI number
- 1023463650
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 091630512 (CO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 091630512 (CO)
Residential Treatment Facilities
Practice location
14195 Montview Blvd
Apt 14
Aurora, CO 80011-4289
Phone: (303) 748-7049
Approximate (ZIP-level) locationGet directions
Mailing address
14195 Montview Blvd Apt 14
Aurora, CO 80011-4274
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2016-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.