Provider Demographics
NPI:1083582928
Name:AUTISM SERVICES AND PROGRAMS LLC
Entity type:Organization
Organization Name:AUTISM SERVICES AND PROGRAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:CHANEL
Authorized Official - Last Name:SHEMWELL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:928-587-9198
Mailing Address - Street 1:4940 WARD RD
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2124
Mailing Address - Country:US
Mailing Address - Phone:928-587-9198
Mailing Address - Fax:628-288-7758
Practice Address - Street 1:4940 WARD RD
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2124
Practice Address - Country:US
Practice Address - Phone:928-587-9198
Practice Address - Fax:628-288-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health