Organization
TANNER AUTISM SERVICES OF COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN SCOTT TANNER BCBA (OWNER/CLINICAL DIRECTOR)
(970) 818-0197
Entity
Organization
Contact information
Practice address
2551 E COUNTY ROAD 62E, WELLINGTON, CO 80549-1502
(970) 818-0197
(970) 295-4052
Mailing address
PO BOX 467, WELLINGTON, CO 80549-0467
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1095044
CO
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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