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General NPI Number Information
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NPI Number | 1366135550
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Entity Type | Organization
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Legal Business Name | SUMMIT LEARNING COLORADO, LLC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 2200 S UNIVERSITY BLVD APT 414
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City | DENVER
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State | CO
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Zip | 80210-5469
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Country | US
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Telephone | 858-692-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 S UNIVERSITY BLVD APT 414
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City | DENVER
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State | CO
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Zip | 80210-5469
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Country | US
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Telephone | 858-692-0035
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/BEHAVIOR ANALYST
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Name | MS. LISA ANKENY
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Credential | BCBA
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Telephone | 858-692-0035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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