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NPI Code Detail

MEDICARE: HORIZONS BEHAVIORAL CONSULTANTS, LLC.

MEDICARE: HORIZONS BEHAVIORAL CONSULTANTS, LLC.
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
1103K00000XBehavior Analyst1084460CO

General Provider Information

NPI Number : 1457780280
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZONS BEHAVIORAL CONSULTANTS, LLC.
Provider Business Mailing Address
First Line : 8750 WOODCREST DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-2944
Country : US
Telephone Number : 719-246-8440
Fax Number :
Provider Business Practice Location Address
First Line : 5446 N ACADEMY BLVD
Second Line : SUITE 105
City : COLORADO SPRINGS
State : CO
Zip : 80918-3644
Country : US
Telephone Number : 719-246-8440
Fax Number :
Authorized Official
Title or Position : BEHAVIOR ANALYST
Name : KIMBERLY ROSA
Credential : BCBA
Telephone Number : 719-246-8440
Provider Enumeration Date : 11/02/2013
Last Update Date : 10/31/2016

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