Aba At Legacy | |
19751 E. Mainstreet Ste. 215 Parker CO 80138 | |
(303) 841-4005 | |
Not Available |
Full Name | Aba At Legacy |
---|---|
Speciality | Behavior Analyst |
Location | 19751 E. Mainstreet Ste. 215, Parker, Colorado |
Authorized Official Name and Position | Molly White (CLINICAL DIRECTOR) |
Authorized Official Contact | 3038414005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aba At Legacy 19751 E. Mainstreet Ste. 215 Parker CO 80138 Ph: (303) 841-4005 | Aba At Legacy 19751 E. Mainstreet Ste. 215 Parker CO 80138 Ph: (303) 841-4005 |
NPI Number | 1811322092 |
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Provider Enumeration Date | 09/06/2013 |
Last Update Date | 09/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811322092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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