Clear Creek Behavior Services Llc | |
214 Eagle Dr Golden CO 80403-7768 | |
(303) 912-9976 | |
Not Available |
Full Name | Clear Creek Behavior Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 214 Eagle Dr, Golden, Colorado |
Authorized Official Name and Position | Pamela Martien-koch (OWNER) |
Authorized Official Contact | 3039129976 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clear Creek Behavior Services Llc 214 Eagle Dr Golden CO 80403-7768 Ph: () - | Clear Creek Behavior Services Llc 214 Eagle Dr Golden CO 80403-7768 Ph: (303) 912-9976 |
NPI Number | 1245755701 |
---|---|
Provider Enumeration Date | 08/06/2017 |
Last Update Date | 08/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245755701 | NPI | - | NPPES |
9000143403 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-04-1944 (Colorado) | Primary |
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