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General NPI Number Information
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NPI Number | 1811451693
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Entity Type | Organization
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Legal Business Name | OPTIMUM GUIDANCE BEHAVIOR CONSULTING, LLC
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1021 E SOUTH BOULDER RD STE O
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City | LOUISVILLE
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State | CO
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Zip | 80027-2548
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Country | US
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Telephone | 720-771-0852
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ADAMS ST APT 1406
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City | DENVER
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State | CO
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Zip | 80206-5727
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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 | DIRECTOR
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Name | CARRIE MYERS
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Credential |
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Telephone | 541-761-6230
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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