| Smilesphere, Llc | |
|
1080 W 6th Ave Broomfield CO 80020-3408 | |
| (720) 310-0421 | |
| Not Available |
| Full Name | Smilesphere, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1080 W 6th Ave, Broomfield, Colorado |
| Authorized Official Name and Position | Harue Keim (FUNDER/BCBA) |
| Authorized Official Contact | 7203100421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilesphere, Llc 1080 W 6th Ave Broomfield CO 80020-3408 Ph: () - | Smilesphere, Llc 1080 W 6th Ave Broomfield CO 80020-3408 Ph: (720) 310-0421 |
| NPI Number | 1124990866 |
|---|---|
| Provider Enumeration Date | 09/22/2025 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124990866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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