Organization
INTERACTIVE BRAIN ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORA JOY ELLIOTT (PRESDENT)
(303) 447-8443
Entity
Organization
Contact information
Practice address
4885 RIVERBEND RD, SUITE D300, BOULDER, CO 80301-2617
(303) 447-8443
Mailing address
4885 RIVERBEND RD, SUITE D300, BOULDER, CO 80301-2617
(303) 447-8443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3408
CO
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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