Kendra Chantal Park

NPI #1235746884 in Boulder, Colorado

Provider Information

NPI Number: 1235746884
Entity Type: Individual
Name: Kendra Chantal Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 28, 2020
Last Updated: Sep 28, 2020

Practice Location

Address: 5305 SPINE RD STE A
City: Boulder
State: Colorado
ZIP Code: 80301-3331
Phone: (720) 643-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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