Individual
CAITLIN TAYLOR BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 E COUNTY ROAD 62E, WELLINGTON, CO 80549-1502
(970) 295-4052
Mailing address
1133 CITY PARK AVE, FORT COLLINS, CO 80521-4443
(303) 356-9542
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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