| Shaping Behavior Academy | |
|
5508 Blue Moon Dr Colorado Springs CO 80924-4212 | |
| (817) 995-8953 | |
| Not Available |
| Full Name | Shaping Behavior Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5508 Blue Moon Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Erica a Hebert (CO-FOUNDER/CEO) |
| Authorized Official Contact | 8179958953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Behavior Academy 5508 Blue Moon Dr Colorado Springs CO 80924-4212 Ph: (817) 995-8953 | Shaping Behavior Academy 5508 Blue Moon Dr Colorado Springs CO 80924-4212 Ph: (817) 995-8953 |
| NPI Number | 1861235475 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861235475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 103K00000X | Behavior Analyst | (NU) | Primary |
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