Provider Demographics
NPI:1992558209
Name:GROWTH EARLY CHILDHOOD BEHAVIOR CONSULTING
Entity type:Organization
Organization Name:GROWTH EARLY CHILDHOOD BEHAVIOR CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND HEAD COACH
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINCHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D, LBA
Authorized Official - Phone:903-266-0952
Mailing Address - Street 1:178 KNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-9707
Mailing Address - Country:US
Mailing Address - Phone:903-266-0952
Mailing Address - Fax:
Practice Address - Street 1:178 KNIGHT RD
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-9707
Practice Address - Country:US
Practice Address - Phone:903-266-0952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health