| Fort Collins | |
|
1613 Prospect Park Way Ste 110 Fort Collins CO 80525-9707 | |
| (970) 377-9401 | |
| Not Available |
| Full Name | Fort Collins |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1613 Prospect Park Way Ste 110, Fort Collins, Colorado |
| Authorized Official Name and Position | Elizabeth Schuler (DIRECTOR OF FINANCIAL SERVICES) |
| Authorized Official Contact | 7204142699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Collins 390 Union Blvd Ste 300 Lakewood CO 80228-6514 Ph: (720) 414-2699 | Fort Collins 1613 Prospect Park Way Ste 110 Fort Collins CO 80525-9707 Ph: (970) 377-9401 |
| NPI Number | 1407354848 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 01/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407354848 | NPI | - | NPPES |
| 79270255 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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