Individual
LORI MARGUERITE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 HAXTON DR UNIT 115, FORT COLLINS, CO 80525-6213
(970) 305-8642
Mailing address
1100 HAXTON DR UNIT 115, FORT COLLINS, CO 80525-6213
(970) 305-8642
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JAVA2010
—
CO
Enumeration date
06/04/2019
Last updated
06/04/2019
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