Andrew Bates

Individual provider Active NPI Behavior Technician · Colorado Springs, CO

NPI 1780445205 · NPPES record last updated Jan 22, 2024

Key facts

NPI
1780445205
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2120 E la Salle St
Colorado Springs, CO 80909-2218
Phone
(719) 466-4809
NPI assigned
Jan 22, 2024
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 CO Yes

Addresses

Primary practice location

2120 E la Salle St
Colorado Springs, CO 80909-2218

Mailing address

2120 E la Salle St
Colorado Springs, CO 80909-2218
Phone (719) 466-4809

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.