NPI Code Details Logo

NPI 1992472286

NPI 1992472286 : HUMMINGBIRD BEHAVIORAL HEALTH LLC : DOLORES, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992472286
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HUMMINGBIRD BEHAVIORAL HEALTH LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/25/2021
-----------------------------------------------------
    Last Update Date     |    01/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11813 ROAD 27.1 
-----------------------------------------------------
    City                 |    DOLORES
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81323-9247
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    970-779-0699
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11813 ROAD 27.1 
-----------------------------------------------------
    City                 |    DOLORES
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81323-9247
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     TERALYNN  VALLERY 
-----------------------------------------------------
    Credential           |    BCBA
-----------------------------------------------------
    Telephone            |    970-779-0699
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.