| NPI | 1912507054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN PHILLIPS Practice Manager 970-317-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-04-23 |