Orange Fox Aba | |
12655 Forest Green Dr Elbert CO 80106-8928 | |
(678) 602-6023 | |
Not Available |
Full Name | Orange Fox Aba |
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Speciality | Behavior Analyst |
Location | 12655 Forest Green Dr, Elbert, Colorado |
Authorized Official Name and Position | Diane Andrew (BCBA, PRACTICE LEADER) |
Authorized Official Contact | 6786026023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orange Fox Aba 12655 Forest Green Dr Elbert CO 80106-8928 Ph: (678) 602-6023 | Orange Fox Aba 12655 Forest Green Dr Elbert CO 80106-8928 Ph: (678) 602-6023 |
NPI Number | 1679380125 |
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Provider Enumeration Date | 12/17/2024 |
Last Update Date | 12/17/2024 |
Certification Date | 12/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679380125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Rugged Cross Miracle Ranch Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13990 Windy Pine Dr, Elbert, CO 80106 Phone: 719-327-0656 Fax: 719-327-0657 | |
Brite Beginnings Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14195 Delwood Dr, Elbert, CO 80106 Phone: 720-648-2654 Fax: 800-540-0328 |