Abendroth, Elijah

Abendroth, Elijah is an individual health care provider with primary practice located at 1915 Aerotech Dr Ste 180 , Colorado Springs CO 80916-4213. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Abendroth, Elijah can be contacted via phone (719) 301-5100.

Contact Information

Primary practice address
1915 Aerotech Dr Ste 180 Colorado Springs CO 80916-4213
Phone: (719) 301-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-113384 Colorado

Profile Details

NPI number 1417581844
LBN Legal business name Abendroth, Elijah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 6 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 1417581844 NPPES
Colorado MEDICAID 1790211605

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