Provider Demographics
NPI:1073261947
Name:BARRIOS, WILVER
Entity type:Individual
Prefix:
First Name:WILVER
Middle Name:
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15350 E ARIZONA AVE UNIT 301
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4733
Mailing Address - Country:US
Mailing Address - Phone:720-485-9043
Mailing Address - Fax:
Practice Address - Street 1:15350 E ARIZONA AVE UNIT 301
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4733
Practice Address - Country:US
Practice Address - Phone:720-485-9043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician