Most Relevant Information
Provider Data
  | NPI Number: | 1003549221 | 
| Provider Name: | EMILY BORCHARD | 
| Entity Type: | Individual | 
| Taxonomy Code: | 106S00000X | 
| Specialty: | Behavior Technician | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 07/05/2022 | 
| Last Updated: | 07/05/2022 | 
Provider Practice Location
  901 NORTH SANTA FE AVENUE
      
      FOUNTAIN
      CO
      808171738
  Practice Location Phone/Fax
      | Phone: | 7195970822 | 
| Fax: | 
Provider Mailing Location
  901 N SANTA FE AVE
      
      FOUNTAIN
      CO
      808171738
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |