Provider Demographics
NPI:1043682925
Name:ALTITUDE ABA
Entity Type:Organization
Organization Name:ALTITUDE ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEATHERLY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:720-413-9824
Mailing Address - Street 1:8296 S DOVER ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5326
Mailing Address - Country:US
Mailing Address - Phone:720-413-9824
Mailing Address - Fax:
Practice Address - Street 1:8296 S DOVER ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5326
Practice Address - Country:US
Practice Address - Phone:720-413-9824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health