Blake Ross

NPI #1932604931 in Boulder, Colorado

Provider Information

NPI Number: 1932604931
Entity Type: Individual
Name: Blake Ross
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 29, 2018
Last Updated: Mar 29, 2018

Practice Location

Address: 3080 VALMONT RD STE 220
City: Boulder
State: Colorado
ZIP Code: 80301-2152
Phone: (720) 772-7334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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