| Integrated Theraplay | |
|
6827 S Brook Forest Rd Evergreen CO 80439-7020 | |
| (404) 643-3621 | |
| Not Available |
| Full Name | Integrated Theraplay |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6827 S Brook Forest Rd, Evergreen, Colorado |
| Authorized Official Name and Position | Theresa Johnson (OWNER) |
| Authorized Official Contact | 4046433621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Theraplay 6827 S Brook Forest Rd Evergreen CO 80439-7020 Ph: (404) 643-3621 | Integrated Theraplay 6827 S Brook Forest Rd Evergreen CO 80439-7020 Ph: (404) 643-3621 |
| NPI Number | 1295320596 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295320596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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