MIRANDA BELLE KORTH

FORT COLLINS, CO
NPI1760990402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CO  1-19-37458)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-01-16
Last Update Date2019-10-06
Business Address
MIRANDA BELLE KORTH
1613 PROSPECT PARKWAY
FORT COLLINS, CO 80525
Phone number: 970-377-9401
Mailing Address
MIRANDA BELLE KORTH
1613 PROSPECT PARKWAY 110
FORT COLLINS, CO 80525
Phone number: