Organization
BIG ISLAND BEHAVIOR INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON PICKERILL (MEMBER)
(719) 644-1119
Entity
Organization
Contact information
Practice address
16-566 KEAAU PAHOA RD STE 188-111, KEAAU, HI 96749-8137
(310) 869-0030
Mailing address
16270 FOREST LIGHT DR, COLORADO SPRINGS, CO 80908-2074
(719) 644-1119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2019
Last updated
06/11/2019
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