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Individual

ELIJAH GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4550 S BROADWAY, ENGLEWOOD, CO 80113-5724
(720) 443-9759
Mailing address
7950 S CEDAR CIR, LITTLETON, CO 80120-4430
(303) 886-3620

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/27/2024
Last updated
11/27/2024
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