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NPI 1063883288

NPI 1063883288 : CONSULTANTS FOR CHILDREN, INC : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1063883288
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONSULTANTS FOR CHILDREN, INC 
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Dates
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    Enumeration Date     |    10/14/2015
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    Last Update Date     |    10/14/2015
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Provider Practice Location Address
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    Address Line         |    265 S HARLAN ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80226-2261
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    Country              |    US
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    Telephone            |    720-272-1289
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    265 S HARLAN ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80226-2261
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    Country              |    US
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    Telephone            |    720-272-1289
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, DIRECTOR
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    Name                 |     GERMAINE  SEUFERT 
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    Credential           |    MA, LPC, NCC, CBIS
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    Telephone            |    720-272-1289
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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       |    04P640
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    License Number State |    CO
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