| Alliance Behavioral Services Llc | |
|
5230 Illini Way Boulder CO 80303-4208 | |
| (908) 723-1266 | |
| Not Available |
| Full Name | Alliance Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5230 Illini Way, Boulder, Colorado |
| Authorized Official Name and Position | Samantha Carloto (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 9087231266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Behavioral Services Llc 5230 Illini Way Boulder CO 80303-4208 Ph: (908) 723-1266 | Alliance Behavioral Services Llc 5230 Illini Way Boulder CO 80303-4208 Ph: (908) 723-1266 |
| NPI Number | 1417670118 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417670118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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