Potter, Phillip Adam

Potter, Phillip Adam is an individual health care provider with primary practice located at 5412 Idylwild Trl # 100 Suite 107, Boulder CO 80301-3523. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Potter, Phillip Adam can be contacted via phone (720) 772-7334.

Contact Information

Primary practice address
5412 Idylwild Trl # 100 Suite 107 Boulder CO 80301-3523
Phone: (720) 772-7334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1457670051
LBN Legal business name Potter, Phillip Adam
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2010
Last updated Dec 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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