Assefa, Eyasu

Assefa, Eyasu is an individual health care provider with primary practice located at 451 21St Ave Ste B , Longmont CO 80501-1483. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Assefa, Eyasu can be contacted via phone (800) 656-2376.

Contact Information

Primary practice address
451 21St Ave Ste B Longmont CO 80501-1483
Phone: (800) 656-2376
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1215685540
LBN Legal business name Assefa, Eyasu
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2022
Last updated Dec 29th, 2023 - about 2 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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