Organization
FRONT RANGE BEHAVIOR
Active
Parent organization
EAST GREELEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST GREELEY
Authorized official
ANGELA B CHASE BCBA, M.S., CCC-SLP (OWNER)
(970) 673-8476
Entity
Organization
Contact information
Practice address
2547 11TH AVE STE B, GREELEY, CO 80631-1680
(970) 673-8476
(970) 515-3619
Mailing address
2547 11TH AVE STE B, GREELEY, CO 80631-1680
(970) 673-8476
(970) 515-3619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000166702
—
CO
Enumeration date
12/28/2020
Last updated
12/28/2020
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