Individual
CORY M PALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1250 N WILSON AVE, LOVELAND, CO 80537-4461
(970) 494-9870
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-9761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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