Provider Demographics
NPI:1861865891
Name:FLOYD, JOHN W (MSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:FLOYD
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 W PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1922
Mailing Address - Country:US
Mailing Address - Phone:970-367-6055
Mailing Address - Fax:
Practice Address - Street 1:836 W PROSPECT RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1922
Practice Address - Country:US
Practice Address - Phone:970-367-6055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst