| Abigail Koenig | |
|
10650 E Bethany Dr Aurora CO 80014-2653 | |
| (800) 536-2340 | |
| (303) 957-2251 |
| Full Name | Abigail Koenig |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10650 E Bethany Dr, Aurora, Colorado |
| Authorized Official Name and Position | Abigail Koenig (OWNER/BEHAVIORAL CONSULTANT) |
| Authorized Official Contact | 9704338339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Koenig Po Box 4804 Buena Vista CO 81211-4804 Ph: (970) 433-8339 | Abigail Koenig 10650 E Bethany Dr Aurora CO 80014-2653 Ph: (800) 536-2340 |
| NPI Number | 1922393073 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922393073 | NPI | - | NPPES |
| 9000147145 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 0093572 (Colorado) | Secondary |
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