| Front Range Behavior | |
|
2547 11th Ave Ste B Greeley CO 80631-1680 | |
| (970) 673-8476 | |
| (970) 515-3619 |
| Full Name | Front Range Behavior |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2547 11th Ave Ste B, Greeley, Colorado |
| Authorized Official Name and Position | Angela B Chase (OWNER) |
| Authorized Official Contact | 9706738476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Range Behavior 2547 11th Ave Ste B Greeley CO 80631-1680 Ph: (970) 673-8476 | Front Range Behavior 2547 11th Ave Ste B Greeley CO 80631-1680 Ph: (970) 673-8476 |
| NPI Number | 1922695741 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922695741 | NPI | - | NPPES |
| 9000166702 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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