Ewoldt, Diana Dorothea
Ewoldt, Diana Dorothea is an individual health care provider with primary practice located at 4905 N Union Blvd Ste 200 , Colorado Springs CO 80918-4058. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Ewoldt, Diana Dorothea can be contacted via phone (970) 219-9089.Contact Information
Primary practice address
4905 N Union Blvd Ste 200
Colorado Springs CO 80918-4058
Phone: (970) 219-9089
Fax: (719) 465-2744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-18-9265 |
Profile Details
| NPI number | 1720594526 |
|---|---|
| LBN Legal business name | Ewoldt, Diana Dorothea |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2017 |
| Last updated | Aug 16th, 2019 - 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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