| Clear Creek Behavior Services Llc | |
|
214 Eagle Dr Golden CO 80403-7768 | |
| (303) 912-9976 | |
| Not Available |
| Full Name | Clear Creek Behavior Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 214 Eagle Dr, Golden, Colorado |
| Authorized Official Name and Position | Pamela Martien-koch (OWNER) |
| Authorized Official Contact | 3039129976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Creek Behavior Services Llc 214 Eagle Dr Golden CO 80403-7768 Ph: () - | Clear Creek Behavior Services Llc 214 Eagle Dr Golden CO 80403-7768 Ph: (303) 912-9976 |
| NPI Number | 1245755701 |
|---|---|
| Provider Enumeration Date | 08/06/2017 |
| Last Update Date | 08/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245755701 | NPI | - | NPPES |
| 9000143403 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-04-1944 (Colorado) | Primary |
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