Individual
ANTUAN NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 PROSPECT PKWY STE 110, FORT COLLINS, CO 80525-9707
(970) 377-9401
Mailing address
1092 COPPER MOUNTAIN LN, FORT COLLINS, CO 80524-2360
(843) 901-7868
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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