| By Your Side Colorado, Llc | |
|
8415 Explorer Dr Ste 130 Colorado Springs CO 80920-1034 | |
| (630) 590-5571 | |
| (630) 326-7175 |
| Full Name | By Your Side Colorado, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8415 Explorer Dr Ste 130, Colorado Springs, Colorado |
| Authorized Official Name and Position | Kathy Kozicki (SR MANAGER-BILLING) |
| Authorized Official Contact | 6305905571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| By Your Side Colorado, Llc 8201 Cass Ave Darien IL 60561-5314 Ph: (630) 590-5571 | By Your Side Colorado, Llc 8415 Explorer Dr Ste 130 Colorado Springs CO 80920-1034 Ph: (630) 590-5571 |
| NPI Number | 1013524297 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013524297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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