| Pikes Peak Behavioral Services, Llc | |
|
3246 Centennial Blvd Pmb 139 Colorado Springs CO 80907-4077 | |
| (719) 286-3059 | |
| Not Available |
| Full Name | Pikes Peak Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3246 Centennial Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ashley Kotsiris (OWNER) |
| Authorized Official Contact | 7192863059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikes Peak Behavioral Services, Llc 3246 Centennial Blvd Pmb 139 Colorado Springs CO 80907-4077 Ph: (719) 286-3059 | Pikes Peak Behavioral Services, Llc 3246 Centennial Blvd Pmb 139 Colorado Springs CO 80907-4077 Ph: (719) 286-3059 |
| NPI Number | 1295567857 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295567857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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