| Keystone Behavioral Consultation Llc | |
|
1848 E. Main St. Montrose CO 81401 | |
| (970) 765-0550 | |
| (970) 363-8597 |
| Full Name | Keystone Behavioral Consultation Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1848 E. Main St., Montrose, Colorado |
| Authorized Official Name and Position | Mallori Burnett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9707655284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Behavioral Consultation Llc 12743 5875 Rd Montrose CO 81403-8393 Ph: (970) 765-5284 | Keystone Behavioral Consultation Llc 1848 E. Main St. Montrose CO 81401 Ph: (970) 765-0550 |
| NPI Number | 1467237008 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467237008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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