Individual provider · NPI-1

Elizabeth Anderson

Behavior Analyst · Fort Collins, CO

NPI number1306343652
StatusActive
Last updated in NPPESMay 13, 2024

Details

NPI
1306343652
Entity type
Individual (NPI-1)
Name
Elizabeth Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2018
Certification date
May 13, 2024
Last updated
May 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106S00000X Behavior Technician––

Practice location

1613 Prospect Park Way Ste 110
Fort Collins, CO 80525-9707

Phone 970-377-9401

Mailing address

635 S Mason St Apt A
Fort Collins, CO 80524-3397

Phone 262-378-9182

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