Provider Demographics
NPI:1891002887
Name:AUGMENTATIVE COMMUNICATION AND ASSISTIVE TECHNOLOGY SERVICES
Entity Type:Organization
Organization Name:AUGMENTATIVE COMMUNICATION AND ASSISTIVE TECHNOLOGY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDILYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREIG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:720-252-6849
Mailing Address - Street 1:11169 E I25 FRONTAGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5276
Mailing Address - Country:US
Mailing Address - Phone:720-252-6849
Mailing Address - Fax:303-557-9701
Practice Address - Street 1:11169 E I25 FRONTAGE RD STE B
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-5276
Practice Address - Country:US
Practice Address - Phone:720-252-6849
Practice Address - Fax:303-557-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-12
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO16900286Medicaid
CO04A932OtherCOLORADO HOME CARE AGENCY (CLASS A-MEDICAL) LICENSE