Shade, Emily
Shade, Emily is an individual health care provider with primary practice located at 1330 Quail Lake Loop Suite 120, Colorado Springs CO 80906-4651. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Shade, Emily can be contacted via phone (855) 223-7123.Contact Information
Primary practice address
1330 Quail Lake Loop Suite 120
Colorado Springs CO 80906-4651
Phone: (855) 223-7123
Fax: (619) 374-7134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-14-6129 | Colorado |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-24304 | Colorado |
Profile Details
NPI number | 1750786000 |
---|---|
LBN Legal business name | Shade, Emily |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2014 |
Last updated | Dec 8th, 2017 - about 7 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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