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NPI Code Detail

MEDICARE: EMILY HUTCHISON

MEDICARE: EMILY HUTCHISON
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 Technician
2103K00000XBehavior Analyst1-21-52921CO

General Provider Information

NPI Number : 1275010951
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY HUTCHISON
Provider Business Mailing Address
First Line : 901 N SANTA FE AVE
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1738
Country : US
Telephone Number : 719-822-0550
Fax Number : 719-599-4606
Provider Business Practice Location Address
First Line : 901 N SANTA FE AVE
Second Line :
City : FOUNTAIN
State : CO
Zip : 80817-1738
Country : US
Telephone Number : 719-822-0550
Fax Number : 719-599-4606
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2018
Last Update Date : 12/20/2021

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Directions to “ EMILY HUTCHISON ” Practice Location

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