Individual
ANDREA LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2280 S ALBION ST, DENVER, CO 80222-4906
(720) 735-0649
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-167860
CO
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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