| Rehab For All Georgia Llc | |
|
16270 Forest Light Dr Colorado Springs CO 80908-2074 | |
| (719) 644-1119 | |
| Not Available |
| Full Name | Rehab For All Georgia Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16270 Forest Light Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jason Pickerill (OWNER) |
| Authorized Official Contact | 7196441119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehab For All Georgia Llc 16270 Forest Light Dr Colorado Springs CO 80908-2074 Ph: (719) 644-1119 | Rehab For All Georgia Llc 16270 Forest Light Dr Colorado Springs CO 80908-2074 Ph: (719) 644-1119 |
| NPI Number | 1417572454 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417572454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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