| NPI | 1750167755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON BRET MIXON Speech Language Pathologist 970-250-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |