Provider Demographics
NPI:1225338460
Name:COLLABORATIVE AUTISM RESOURCES AND EDUCATION
Entity Type:Organization
Organization Name:COLLABORATIVE AUTISM RESOURCES AND EDUCATION
Other - Org Name:CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:VENTRELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-712-2735
Mailing Address - Street 1:8722 CEDARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-2136
Mailing Address - Country:US
Mailing Address - Phone:877-712-2735
Mailing Address - Fax:702-924-2561
Practice Address - Street 1:14419 CYPRESS FALLS DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1998
Practice Address - Country:US
Practice Address - Phone:877-712-2735
Practice Address - Fax:702-924-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLLC9373-2002103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty