| Azula Behavioral Consulting, LLC | |
|
820 Megan Unit A Rifle CO 81650-4705 | |
| (970) 235-1160 | |
| (970) 808-2033 |
| Full Name | Azula Behavioral Consulting, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 820 Megan Unit A, Rifle, Colorado |
| Authorized Official Name and Position | Brenda Rivera (CLINICAL DIRECTOR/ OWNER) |
| Authorized Official Contact | 9702351160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azula Behavioral Consulting, LLC 820 Megan Unit A Rifle CO 81650-4705 Ph: (970) 235-1160 | Azula Behavioral Consulting, LLC 820 Megan Unit A Rifle CO 81650-4705 Ph: (970) 235-1160 |
| NPI Number | 1891554168 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891554168 | NPI | - | NPPES |
| 9000190488 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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