| Over The Rainbow Behavioral Consulting, Llc | |
|
18 N Uncompahgre Ave Montrose CO 81401-3986 | |
| (970) 765-8428 | |
| Not Available |
| Full Name | Over The Rainbow Behavioral Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18 N Uncompahgre Ave, Montrose, Colorado |
| Authorized Official Name and Position | Bethany D Coop (CEO) |
| Authorized Official Contact | 9707658428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Over The Rainbow Behavioral Consulting, Llc Po Box 3307 Montrose CO 81402-3307 Ph: (970) 765-8428 | Over The Rainbow Behavioral Consulting, Llc 18 N Uncompahgre Ave Montrose CO 81401-3986 Ph: (970) 765-8428 |
| NPI Number | 1477066207 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477066207 | NPI | - | NPPES |
| 9000154989 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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