Costa, John

Costa, John is an individual health care provider with primary practice located at 11698 Huron St Ste 106 , Northglenn CO 80234-2920. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Costa, John can be contacted via phone (720) 381-0264.

Contact Information

Primary practice address
11698 Huron St Ste 106 Northglenn CO 80234-2920
Phone: (720) 381-0264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1457874778
LBN Legal business name Costa, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2017
Last updated May 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457874778 NPPES
Florida MEDICAID 009093700

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