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Active NPI 1043684749 Organization (Entity Type 2)

Eclipse Therapy Llc

Behavior Analyst • Evergreen, CO

About Eclipse Therapy Llc NPI 1043684749 Summary

Eclipse Therapy Llc is a verified healthcare organization specializing in Behavior Analyst operating in Evergreen, CO. Located at 2091 KERR GULCH RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1043684749.

Administrative operations and authorized compliance are overseen by Rosalie Prendergast (Managing Member).

The facility is associated with 6 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2091 Kerr Gulch Rd

Evergreen, CO 804396398

Telephone 7203391309
Fax 3032659182

Authorized Official Information

Authorized Contact Name

Rosalie Prendergast , BCBA

Title / Role

Managing Member

Official Telephone

7203391309

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

6 Linked
Elias Frazier NPI 1205337243

Behavior Analyst

Evergreen, CO

View Practitioner Profile →
Erin Marble NPI 1245927003

Behavior Analyst

Evergreen, CO

View Practitioner Profile →

Behavior Analyst

Evergreen, CO

View Practitioner Profile →
Eugenia Logvinova NPI 1346611977

Behavior Analyst

Evergreen, CO

View Practitioner Profile →

Behavior Analyst

Evergreen, CO

View Practitioner Profile →

Behavior Analyst

Evergreen, CO

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active November 18, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 18, 2015

Registered at 2091 KERR GULCH RD, EVERGREEN, CO 804396398 (Tel: 7203391309)

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Updated Business Mailing Address November 18, 2015

Registered at 2091 KERR GULCH RD, EVERGREEN, CO 80439 (Tel: 7203391309)

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Organization / Clinic Name Updated November 18, 2015

Operating as ECLIPSE THERAPY LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2015

Behavior Analyst

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Initial NPI Registration & Enumeration November 18, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1043684749
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 18, 2015
Last Update: November 18, 2015

Mailing Address

2091 Kerr Gulch Rd

Evergreen, CO 80439

Phone: 7203391309

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.