Tanner Autism Services Of Colorado | |
2551 E County Road 62e Wellington CO 80549-1502 | |
(970) 818-0197 | |
(970) 295-4052 |
Full Name | Tanner Autism Services Of Colorado |
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Speciality | Behavior Analyst |
Location | 2551 E County Road 62e, Wellington, Colorado |
Authorized Official Name and Position | Bryan Scott Tanner (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 9708180197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tanner Autism Services Of Colorado Po Box 467 Wellington CO 80549-0467 Ph: () - | Tanner Autism Services Of Colorado 2551 E County Road 62e Wellington CO 80549-1502 Ph: (970) 818-0197 |
NPI Number | 1366898793 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 05/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366898793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1095044 (Colorado) | Primary |
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