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1033 Fireflower Cir Windsor CO 80550-5613 | |
| (303) 746-1561 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1033 Fireflower Cir, Windsor, Colorado |
| Authorized Official Name and Position | Laren Pedersen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3037461561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1033 Fireflower Cir Windsor CO 80550-5613 Ph: (303) 746-1561 | 1033 Fireflower Cir Windsor CO 80550-5613 Ph: (303) 746-1561 |
| NPI Number | 1396509287 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396509287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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