NPI 1902251705 · live from the CMS NPI Registry
Actualize Behavior Alternatives
Social Worker, Clinical in Littleton, CO. National Provider Identifier 1902251705, active.
NPI record
| NPI | 1902251705 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5575 S Sycamore St Ste 108, Littleton, CO 80120 |
| Practice phone | 720-775-0151 |
| Mailing address | 9249 S Broadway Ste 811, Highlands Ranch, CO 80129 |
| Enumerated | April 29, 2016 |
| Last updated | May 6, 2020 |
| Authorized official | Elizabeth Earnest, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | — |
| Social Worker, Clinical primary | 1041C0700X | CSW.09923282 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.