| Eclipse Therapy Llc | |
|
2091 Kerr Gulch Rd Evergreen CO 80439-6398 | |
| (720) 339-1309 | |
| Not Available |
| Full Name | Eclipse Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2091 Kerr Gulch Rd, Evergreen, Colorado |
| Authorized Official Name and Position | Rosalie Byrd Prendergast (MANAGING MEMBER) |
| Authorized Official Contact | 7203391309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclipse Therapy Llc 2091 Kerr Gulch Rd Evergreen CO 80439-6398 Ph: (720) 339-1309 | Eclipse Therapy Llc 2091 Kerr Gulch Rd Evergreen CO 80439-6398 Ph: (720) 339-1309 |
| NPI Number | 1679014666 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679014666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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