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NPI Code Detail

MEDICARE: EMILY ELIZABETH EDMONDSON

MEDICARE: EMILY ELIZABETH EDMONDSON
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

General Provider Information

NPI Number : 1811813108
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELIZABETH EDMONDSON
Provider Business Mailing Address
First Line : 3106 BOONE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-2522
Country : US
Telephone Number : 346-270-7757
Fax Number :
Provider Business Practice Location Address
First Line : 1613 PROSPECT PARK WAY STE 110
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-9707
Country : US
Telephone Number : 970-297-7704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2026
Last Update Date : 06/29/2026

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Directions to “ EMILY ELIZABETH EDMONDSON ” Practice Location

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