Organization
FRONT RANGE BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CHASE (OWNER)
(970) 778-4637
Entity
Organization
Contact information
Practice address
1901 56TH AVE STE 110, GREELEY, CO 80634-2950
(970) 778-4637
Mailing address
1303 PARK RIDGE DR, SEVERANCE, CO 80615-8609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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