| Tanner Autism Services Of Colorado | |
|
2551 E County Road 62e Wellington CO 80549-1502 | |
| (970) 818-0197 | |
| (970) 295-4052 |
| Full Name | Tanner Autism Services Of Colorado |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2551 E County Road 62e, Wellington, Colorado |
| Authorized Official Name and Position | Bryan Scott Tanner (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9708180197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Autism Services Of Colorado Po Box 467 Wellington CO 80549-0467 Ph: () - | Tanner Autism Services Of Colorado 2551 E County Road 62e Wellington CO 80549-1502 Ph: (970) 818-0197 |
| NPI Number | 1366898793 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366898793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1095044 (Colorado) | Primary |
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