Elizabeth Marie Kilpatrick

Individual provider Active NPI Behavior Technician · Fort Collins, CO

NPI 1043788698 · NPPES record last updated Nov 12, 2018

Key facts

NPI
1043788698
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1613 Prospect Pkwy Ste 110
Fort Collins, CO 80525-9707
Phone
(970) 377-9401
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1613 Prospect Pkwy Ste 110
Fort Collins, CO 80525-9707

Mailing address

1208 Hillcrest Dr
Fort Collins, CO 80521-4245
Phone (970) 209-0889

Other identifiers

IdentifierTypeStateIssuer
0437631MedicaidCO

Other providers in Fort Collins, CO

All providers in Fort Collins, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.