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General NPI Number Information
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NPI Number | 1033917398
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Entity Type | Organization
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Legal Business Name | ACTUALIZE BEHAVIOR ALTERNATIVES
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 5575 S SYCAMORE ST STE 108
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City | LITTLETON
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State | CO
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Zip | 80120-1141
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Country | US
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Telephone | 720-775-0151
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Fax |
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Provider Business Mailing Address
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Address Line | 9249 S BROADWAY STE 811
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5690
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Country | US
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Telephone | 720-775-0151
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Fax | 720-775-0151
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Authorized Official
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Title or Position | FOUNDER; CLINICAL DIRECTOR
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Name | ELIZABETH E HOFFMAN
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Credential |
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Telephone | 720-775-0151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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