Eyasu Assefa

NPI #1215685540 in Longmont, Colorado

Provider Information

NPI Number: 1215685540
Entity Type: Individual
Name: Eyasu Assefa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 15, 2022
Last Updated: Dec 29, 2023

Practice Location

Address: 451 21ST AVE STE B
City: Longmont
State: Colorado
ZIP Code: 80501-1483
Phone: (800) 656-2376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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