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Individual

BRIAN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1613 PROSPECT PKWY STE 110, FORT COLLINS, CO 80525-9707
(720) 398-5184
(303) 984-4366
Mailing address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(303) 989-8169
(303) 984-4366

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/11/2019
Last updated
03/11/2019
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