| Haven Behavioral | |
|
1330 Quail Lake Loop Suite 240 Colorado Springs CO 80906-4651 | |
| (719) 640-5445 | |
| Not Available |
| Full Name | Haven Behavioral |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1330 Quail Lake Loop, Colorado Springs, Colorado |
| Authorized Official Name and Position | Kirk Mcconnell (VP) |
| Authorized Official Contact | 7196405445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Behavioral 9420 S Avers Ave Evergreen Park IL 60805-2007 Ph: (708) 285-0578 | Haven Behavioral 1330 Quail Lake Loop Suite 240 Colorado Springs CO 80906-4651 Ph: (719) 640-5445 |
| NPI Number | 1770995011 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770995011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0-14-5932 (Illinois) | Primary |
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