Balqis Khairunnisa Nugroho
Balqis Khairunnisa Nugroho is a Behavior Technician in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2026.
- Licensed in
- CO
- In the registry since
- 2026
Practice location Address checks out
1613 E Prospect Rd STE110Fort Collins, CO 80525
Phone: (970) 297-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CO) |
|---|
Record details
| NPI number | 1912854423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 13, 2026 |
| Last updated in NPPES | March 13, 2026 |
| Certification date | March 9, 2026 |
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