Provider Demographics
NPI:1275336745
Name:LOERA, PRISCILLA PRECIOUS
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:PRECIOUS
Last Name:LOERA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 E 85TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4901
Mailing Address - Country:US
Mailing Address - Phone:720-434-0903
Mailing Address - Fax:
Practice Address - Street 1:1041 E 85TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80229-4901
Practice Address - Country:US
Practice Address - Phone:720-434-0903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician