Provider Demographics
NPI:1508512807
Name:COLORADO AUTISM CONSULTANTS, LLC
Entity Type:Organization
Organization Name:COLORADO AUTISM CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE/BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-550-0489
Mailing Address - Street 1:11112 BELLAMAH AVE. NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-4304
Mailing Address - Country:US
Mailing Address - Phone:505-550-0489
Mailing Address - Fax:303-957-2251
Practice Address - Street 1:10 RUPERT STREET
Practice Address - Street 2:
Practice Address - City:MONTE VISTA
Practice Address - State:CO
Practice Address - Zip Code:81144-1042
Practice Address - Country:US
Practice Address - Phone:719-584-8055
Practice Address - Fax:303-957-2251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO AUTISM CONSULTANTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-24
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty