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NPI Code Detail

MEDICARE: DANIELLE FARNAN RBT

MEDICARE: DANIELLE FARNAN RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianBACB608426OK
2235Z00000XSpeech-Language PathologistSLP.0005821CO

General Provider Information

NPI Number : 1780286336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE FARNAN RBT
Provider Business Mailing Address
First Line : 8415 EXPLORER DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1033
Country : US
Telephone Number : 719-332-4689
Fax Number :
Provider Business Practice Location Address
First Line : 8415 EXPLORER DR STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1034
Country : US
Telephone Number : 719-332-4689
Fax Number : 719-282-1449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 04/18/2024

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Directions to “ DANIELLE FARNAN RBT” Practice Location

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