Eclipse Therapy Llc | |
2091 Kerr Gulch Rd Evergreen CO 80439-6398 | |
(720) 339-1309 | |
(303) 265-9182 |
Full Name | Eclipse Therapy Llc |
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Speciality | Behavior Analyst |
Location | 2091 Kerr Gulch Rd, Evergreen, Colorado |
Authorized Official Name and Position | Rosalie Prendergast (MANAGING MEMBER) |
Authorized Official Contact | 7203391309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eclipse Therapy Llc 2091 Kerr Gulch Rd Evergreen CO 80439 Ph: (720) 339-1309 | Eclipse Therapy Llc 2091 Kerr Gulch Rd Evergreen CO 80439-6398 Ph: (720) 339-1309 |
NPI Number | 1043684749 |
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Provider Enumeration Date | 11/18/2015 |
Last Update Date | 11/18/2015 |
Identifier | Type | State | Issuer |
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1043684749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (Colorado) | Primary |
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