NPI 1275814014
Jose L Elizalde, LCSW
Practice location
- Address
- 50 Buck Creek Rd #200, Avon, CO 81620
- Phone
- (970) 926-6340
Registered specialties (2)
Clinical Social Worker
Primary
Behavior Analyst
Registry record
- NPI
- 1275814014
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Sep 2011
- Record last updated
- 16 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.