Organization
BEHAVIORAL DYNAMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JO WELLENDORF M.S., BCBA (CO-OWNER)
(402) 916-0138
Entity
Organization
Contact information
Practice address
1941 RAVEN VIEW RD., FORT COLLINS, CO 80521
(402) 916-0138
Mailing address
2519 S SHIELDS ST, STE 1K #567, FORT COLLINS, CO 80526-1855
(402) 916-0138
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/09/2024
Last updated
07/26/2024
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