1457740078 NPI number — VERBAL BEHAVIOR SOLUTIONS OF THE ROCKIES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457740078 NPI number — VERBAL BEHAVIOR SOLUTIONS OF THE ROCKIES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERBAL BEHAVIOR SOLUTIONS OF THE ROCKIES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457740078
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10221 HIGHLAND MEADOW CIR
Provider Second Line Business Mailing Address:
#207
Provider Business Mailing Address City Name:
PARKER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80134-5341
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-680-8915
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10221 HIGHLAND MEADOW CIR
Provider Second Line Business Practice Location Address:
#207
Provider Business Practice Location Address City Name:
PARKER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80134-5341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-680-8915
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SCOURFIELD
Authorized Official First Name:
JAIME
Authorized Official Middle Name:
LEIGH
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
214-680-8915

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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