Provider Demographics
NPI:1417746868
Name:ESPINOZA, ANNA GABRIELA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:GABRIELA
Last Name:ESPINOZA
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 1:2100 W 100TH AVE LOT 111
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-5914
Mailing Address - Country:US
Mailing Address - Phone:308-641-0952
Mailing Address - Fax:
Practice Address - Street 1:2100 W 100TH AVE LOT 111
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-5914
Practice Address - Country:US
Practice Address - Phone:308-641-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician