Centennial, Co Office | |
12650 E Briarwood Ave Unit 207 Centennial CO 80112-6792 | |
(855) 824-5669 | |
Not Available |
Full Name | Centennial, Co Office |
---|---|
Speciality | Behavior Analyst |
Location | 12650 E Briarwood Ave Unit 207, Centennial, Colorado |
Authorized Official Name and Position | Elizabeth Schuler (DIRECTOR OF FINANCIAL SERVICES) |
Authorized Official Contact | 7204142699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centennial, Co Office 390 Union Blvd Ste 300 Lakewood CO 80228-6514 Ph: (303) 989-8169 | Centennial, Co Office 12650 E Briarwood Ave Unit 207 Centennial CO 80112-6792 Ph: (855) 824-5669 |
NPI Number | 1073011417 |
---|---|
Provider Enumeration Date | 01/31/2018 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073011417 | NPI | - | NPPES |
83850066 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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