Individual
SIERRA RUSSELL FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
135 BURNETT DR, DURANGO, CO 81301-7790
(970) 769-0131
Mailing address
260 E 6TH AVE, DURANGO, CO 81301-5732
(970) 238-1122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65806
CO
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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