Organization
BOUNDLESS POTENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ROSE MENZEL BCBA (OWNER)
(325) 338-6182
Entity
Organization
Contact information
Practice address
926 SQUARE DANCE LN, FOUNTAIN, CO 80817-4160
(325) 338-6182
Mailing address
926 SQUARE DANCE LN, FOUNTAIN, CO 80817-4160
(325) 338-6182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11416922
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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