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Shane Collins

Behavior Technician in Boulder, CO. Individual provider (NPI-1).

NPI number1114769239
StatusActive
Last updated in NPPESJun 10, 2024

Details

NPI
1114769239
Entity type
Individual (NPI-1)
Name
Shane Collins
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 10, 2024
Certification date
Jun 10, 2024
Last updated
Jun 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5305 Spine Rd Ste A
Boulder, CO 80301-3331

Phone 720-643-2350

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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