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NPI Code Detail

MEDICARE: DIAMOND SOBERS

MEDICARE: DIAMOND SOBERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1013871862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAMOND SOBERS
Provider Business Mailing Address
First Line : 505 N LOGAN ST
Second Line :
City : DENVER
State : CO
Zip : 80203-3641
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8354 E NORTHFIELD BLVD UNIT 3700
Second Line :
City : DENVER
State : CO
Zip : 80238-3135
Country : US
Telephone Number : 303-532-5749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ DIAMOND SOBERS ” Practice Location

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