Individual
MEGAN EISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S HARLAN ST, LAKEWOOD, CO 80226-2261
(720) 272-1289
(888) 300-3081
Mailing address
265 S HARLAN ST, LAKEWOOD, CO 80226-2261
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53809
CO
106S00000X
Behavior Technician
BACB454009
CO
Other
Enumeration date
03/09/2020
Last updated
05/31/2022
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