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Organization
MEBE COLORADO, LLC
Active
Organization
MEBE COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESTEBAN GONZALEZ (CONTRACT AND CREDENTIALING)
(619) 323-0832
Entity
Organization
Contact information
Practice address
8310 S VALLEY HWY STE 300, ENGLEWOOD, CO 80112-5815
(619) 795-9925
Mailing address
8885 RIO SAN DIEGO DR STE 340, SAN DIEGO, CA 92108-1669
(619) 564-8647
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/04/2019
Last updated
04/14/2021
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