Provider Demographics
NPI:1750188132
Name:TANNER AUTISM SERVICES OF COLORADO
Entity type:Organization
Organization Name:TANNER AUTISM SERVICES OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:EMERALD
Authorized Official - Last Name:VULPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-818-0197
Mailing Address - Street 1:4650 ROYAL VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9321
Mailing Address - Country:US
Mailing Address - Phone:970-818-0197
Mailing Address - Fax:
Practice Address - Street 1:4650 ROYAL VISTA CIR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-9321
Practice Address - Country:US
Practice Address - Phone:970-818-0197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TANNER AUTISM SERVICES OF COLORADO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty