Individual
MADISON BALUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
622 S WASHINGTON AVE, FORT COLLINS, CO 80521-3642
(281) 961-9241
Mailing address
622 S WASHINGTON AVE, FORT COLLINS, CO 80521-3642
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
454372
CO
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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