Mary Long

NPI #1053923813 in Northglenn, Colorado

Provider Information

NPI Number: 1053923813
Entity Type: Individual
Name: Mary Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2020
Last Updated: Aug 21, 2020

Practice Location

Address: 11698 HURON ST
Address 2: SUITE 106
City: Northglenn
State: Colorado
ZIP Code: 80234-2920
Phone: (303) 989-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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