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NPI Code Detail

MEDICARE: MARCUS WORTH COHEN

MEDICARE:   MARCUS WORTH COHEN
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 : 1821858135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCUS WORTH COHEN
Provider Business Mailing Address
First Line : 621 S MELDRUM ST UNIT 2
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2934
Country : US
Telephone Number : 678-814-7815
Fax Number :
Provider Business Practice Location Address
First Line : 621 S MELDRUM ST UNIT 2
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2934
Country : US
Telephone Number : 678-814-7815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2024
Last Update Date : 03/21/2024

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Directions to “ MARCUS WORTH COHEN ” Practice Location

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