Healthcare Provider Details

I. General information

NPI: 1861334112
Provider Name (Legal Business Name): BRIAN ANDREW PRICE JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11681 VOYAGER PKWY
COLORADO SPRINGS CO
80921-3861
US

IV. Provider business mailing address

15882 LITTLE BLUESTEM RD
MONUMENT CO
80132-7512
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-9342
  • Fax:
Mailing address:
  • Phone: 719-722-4770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: