Individual
COREY RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 GRAND AVE, STE 2, DELTA, CO 81416-2000
(970) 874-0464
(970) 874-0464
Mailing address
1553 G86 LN, DELTA, CO 81416-3205
(970) 874-0464
(970) 874-0464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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