Provider Demographics
NPI:1265650485
Name:REDHALK TECHNOLOGIES INC.
Entity Type:Organization
Organization Name:REDHALK TECHNOLOGIES INC.
Other - Org Name:AUTISTIC THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-499-0834
Mailing Address - Street 1:317 W SOUTH BOULDER RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1289
Mailing Address - Country:US
Mailing Address - Phone:303-554-5394
Mailing Address - Fax:
Practice Address - Street 1:317 W SOUTH BOULDER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1289
Practice Address - Country:US
Practice Address - Phone:303-554-5394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9915931041C0700X
CO01114367235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty