Medina Palacios, Eduardo

Medina Palacios, Eduardo is an individual health care provider with primary practice located at 1233 Sherman Dr , Longmont CO 80501-6133. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Medina Palacios, Eduardo can be contacted via phone (720) 449-6676.

Contact Information

Primary practice address
1233 Sherman Dr Longmont CO 80501-6133
Phone: (720) 449-6676
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1750965398
LBN Legal business name Medina Palacios, Eduardo
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2021
Last updated May 10th, 2021 - 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 1750965398 NPPES
Colorado MEDICAID 8144229

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