| Moving Boulders Aba Services Inc | |
|
1495 Canyon Blvd # 21 Boulder CO 80302-5367 | |
| (323) 313-7659 | |
| Not Available |
| Full Name | Moving Boulders Aba Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1495 Canyon Blvd # 21, Boulder, Colorado |
| Authorized Official Name and Position | Lisa Marie Liguori (PRESIDENT) |
| Authorized Official Contact | 3233137659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Boulders Aba Services Inc 1495 Canyon Blvd # 21 Boulder CO 80302-5367 Ph: (323) 313-7659 | Moving Boulders Aba Services Inc 1495 Canyon Blvd # 21 Boulder CO 80302-5367 Ph: (323) 313-7659 |
| NPI Number | 1023625670 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023625670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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