| 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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