Kjersten Elizabeth Undem

NPI #1043798143 in Fort Collins, Colorado

Provider Information

NPI Number: 1043798143
Entity Type: Individual
Name: Kjersten Elizabeth Undem
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 31, 2018
Last Updated: Jul 31, 2018

Practice Location

Address: 1613 PROSPECT PARK WAY STE 110
City: Fort Collins
State: Colorado
ZIP Code: 80525-9707
Phone: (970) 377-9401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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