Provider Demographics
NPI:1942075239
Name:CONFLUENCE BEHAVIORAL
Entity Type:Organization
Organization Name:CONFLUENCE BEHAVIORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-D
Authorized Official - Phone:605-641-1080
Mailing Address - Street 1:12956 W CROSS DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2169
Mailing Address - Country:US
Mailing Address - Phone:605-641-1080
Mailing Address - Fax:
Practice Address - Street 1:12956 W CROSS DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-2169
Practice Address - Country:US
Practice Address - Phone:605-641-1080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SETH WALKER BEHAVIORAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty