Alexander Williams

Individual provider Active NPI Behavior Technician · Dolores, CO

NPI 1376249003 · NPPES record last updated Feb 7, 2023

Key facts

NPI
1376249003
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
23200 Road P
Dolores, CO 81323-9138
Phone
(330) 771-1698
NPI assigned
Feb 3, 2023
Sex
Male
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

23200 Road P
Dolores, CO 81323-9138

Mailing address

23200 Road P
Dolores, CO 81323-9138
Phone (330) 771-1698

Other providers in Dolores, CO

All providers in Dolores, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.