Organization
ASCEND CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREA PH.D., BCBA-D (PSYCHOLOGIST)
(303) 530-4972
Entity
Organization
Contact information
Practice address
6672 GUNPARK DR, BOULDER, CO 80301-3387
(303) 530-4972
Mailing address
9276 NIWOT HILLS DR, NIWOT, CO 80503-7380
(303) 530-4972
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-04-1566
CA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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