Individual
PHILLIP ADAM POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
5412 IDYLWILD TRL # 100, SUITE 107, BOULDER, CO 80301-3523
(720) 772-7334
Mailing address
345 S 38TH ST, BOULDER, CO 80305-5469
(720) 772-7334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
12/02/2016
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