INTERACTIVE BRAIN ANALYSIS NPI 1598039190

NPI Information

NPI: 1598039190
Provider Name: INTERACTIVE BRAIN ANALYSIS
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4885 RIVERBEND RD
SUITE D300
BOULDER, CO
ZIP 80301
Phone: (303) 447-8443
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INTERACTIVE BRAIN ANALYSIS is a professional counselor in Boulder, CO. INTERACTIVE BRAIN ANALYSIS NPI is 1598039190. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4885 RIVERBEND RD
SUITE D300
BOULDER, CO
ZIP 80301-617
Phone: (303) 447-8443

The provider's authorized official is Debora Joy Elliott .
The authorized official title is Presdent and has the following contact phone number (303) 447-8443.

The enumeration date for this NPI number is 2/28/2012 and was last updated on 2/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3408	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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