Individual
BRITTANI SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11543 NEWLAND ST, WESTMINSTER, CO 80020-7225
(720) 397-1265
Mailing address
11543 NEWLAND ST, WESTMINSTER, CO 80020-7225
(720) 397-1265
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
01/01/2022
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