| Wellcare, Inc. | |
|
2105 Academy Cir Colorado Springs CO 80909-1663 | |
| (719) 598-5555 | |
| (719) 388-2030 |
| Full Name | Wellcare, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2105 Academy Cir, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tim Dan Campbell (OWNER) |
| Authorized Official Contact | 7195985555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcare, Inc. 5446 N Academy Blvd Ste 105 Colorado Springs CO 80918-3668 Ph: (719) 598-5555 | Wellcare, Inc. 2105 Academy Cir Colorado Springs CO 80909-1663 Ph: (719) 598-5555 |
| NPI Number | 1922726660 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922726660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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