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Organization

ECLIPSE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSALIE PRENDERGAST BCBA (MANAGING MEMBER)
(720) 339-1309
Entity
Organization

Contact information

Practice address
2091 KERR GULCH RD, EVERGREEN, CO 80439-6398
(720) 339-1309
(303) 265-9182
Mailing address
2091 KERR GULCH RD, EVERGREEN, CO 80439
(720) 339-1309
(303) 265-9182

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CO

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
About Stedi
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  • Eligibility checks
  • EDI platform