Sam Elliott

NPI #1194605899 in Longmont, Colorado

Provider Information

NPI Number: 1194605899
Entity Type: Individual
Name: Sam Elliott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 3, 2025
Last Updated: Sep 3, 2025

Practice Location

Address: 1823 SUNSET PL STE C
City: Longmont
State: Colorado
ZIP Code: 80501-6544
Phone: (720) 731-2312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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