Travis Tidwell

NPI #1740080308 in Thornton, Colorado

Provider Information

NPI Number: 1740080308
Entity Type: Individual
Name: Travis Tidwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 13, 2025
Last Updated: Mar 13, 2025

Practice Location

Address: 1851 E 96TH DR
City: Thornton
State: Colorado
ZIP Code: 80229-2400
Phone: (888) 329-4535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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