Individual
KEEGAN BRODIE SCHULZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3155 SNOW TRILLIUM WAY, EVERGREEN, CO 80439-9204
(720) 295-3790
Mailing address
2315 ZLATEN DR APT D303, LONGMONT, CO 80504-2015
(970) 629-3832
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37760
CO
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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