Individual
FABIAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2906 GINNALA DR, LOVELAND, CO 80538-2700
(970) 744-6674
Mailing address
2906 GINNALA DR, LOVELAND, CO 80538-2700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-507811
CO
Other
Enumeration date
04/20/2026
Last updated
04/23/2026
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