Organization · NPI-2

Action Behavior Centers, LLC

Psychologist · Fort Collins, CO

NPI number1295432409
StatusActive
Last updated in NPPESFeb 8, 2023

Details

NPI
1295432409
Entity type
Organization (NPI-2)
Legal business name
Action Behavior Centers, LLC
Organization subpart
Yes
Enumeration date
Feb 8, 2023
Certification date
Feb 8, 2023
Last updated
Feb 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

1612 Specht Point Rd
Suite 105
Fort Collins, CO 80525-4361

Phone 970-305-9200

Mailing address

1601 S Mopac Expy
C 300
Austin, TX 78746-7077

Phone 512-551-1717

Authorized official

Samantha L Gomez
Credentialing Manager
5125511717

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