Individual
ELIZABETH JAMES BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 AUTOMATION WAY UNIT B2, FORT COLLINS, CO 80525-3447
(970) 420-0578
Mailing address
4025 AUTOMATION WAY UNIT B2, FORT COLLINS, CO 80525-3447
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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