| NPI | 1811494768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MARY BLADOW Owner 970-420-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-06-3015) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |