Individual
BEAU MJAANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 PROSPECT PARK WAY STE 110, FORT COLLINS, CO 80525-9707
(970) 297-7704
Mailing address
1227 LYNNWOOD DR, FORT COLLINS, CO 80521-4426
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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