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1114769239
SHANE COLLINS
BOULDER, CO
NPI
1114769239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
SHANE COLLINS
5305 SPINE RD STE A
BOULDER, CO 80301-3331
Phone number: 720-643-2350
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Mailing Address
SHANE COLLINS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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