Individual
AVERY E CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 JOHN F KENNEDY PKWY STE B2, FORT COLLINS, CO 80525-2635
(720) 295-3790
(877) 400-4480
Mailing address
3500 JOHN F KENNEDY PKWY STE B2, FORT COLLINS, CO 80525-2635
(720) 295-3790
(877) 400-4480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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