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NPI Code Detail

MEDICARE: BRIAN ANDREW PRICE JR.

MEDICARE: BRIAN ANDREW PRICE JR.
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 : 1861334112
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN ANDREW PRICE JR.
Provider Business Mailing Address
First Line : 15882 LITTLE BLUESTEM RD
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7512
Country : US
Telephone Number : 719-722-4770
Fax Number :
Provider Business Practice Location Address
First Line : 11681 VOYAGER PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3861
Country : US
Telephone Number : 719-344-9342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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