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General NPI Number Information
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NPI Number | 1245770536
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Entity Type | Organization
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Legal Business Name | OLIVER BEHAVIORAL CONSULTANTS LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 323 W MAIN ST # 101
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City | FRISCO
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State | CO
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Zip | 80443-5966
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Country | US
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Telephone | 204-597-4937
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Fax |
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Provider Business Mailing Address
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Address Line | 550 THORNTON PKWY UNIT 234
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City | THORNTON
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State | CO
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Zip | 80229-2167
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Country | US
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Telephone | 720-459-7493
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | WALESHKA MELO
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Credential |
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Telephone | 720-459-7493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #9
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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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