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291 Meadows Cir Bayfield CO 81122-9506 | |
| (970) 821-7323 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 291 Meadows Cir, Bayfield, Colorado |
| Authorized Official Name and Position | Sarah Raeghan Dessel (OWNER) |
| Authorized Official Contact | 9708217323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2432 County Road 220 Durango CO 81303-8026 Ph: () - | 291 Meadows Cir Bayfield CO 81122-9506 Ph: (970) 821-7323 |
| NPI Number | 1801523360 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801523360 | NPI | - | NPPES |
| 9000152754 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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