Individual
ETHAN MONTROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 JOHN F KENNEDY PKWY STE B2, FORT COLLINS, CO 80525-2635
(720) 295-3790
Mailing address
15654 ELIZABETH ST, THORNTON, CO 80602-7729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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