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General NPI Number Information
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NPI Number | 1366208027
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Entity Type | Organization
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Legal Business Name | EVOKE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 2145 S CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80222-5006
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Country | US
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Telephone | 720-355-1081
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Fax | 866-817-1606
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Provider Business Mailing Address
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Address Line | 4400 E EVANS AVE
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City | DENVER
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State | CO
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Zip | 80222-5023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EMILY WHITE
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Credential | BCBA
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Telephone | 720-355-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 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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