Autism Behavior Support | |
445 E Cheyenne Mtn. Bvld, Ste C Colorado Springs CO 80906-4570 | |
(719) 352-2970 | |
Not Available |
Full Name | Autism Behavior Support |
---|---|
Speciality | Behavior Analyst |
Location | 445 E Cheyenne Mtn. Bvld, Ste C, Colorado Springs, Colorado |
Authorized Official Name and Position | Mary Ayala (PRESIDENT) |
Authorized Official Contact | 2543948181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Behavior Support 7061 Compass Bend Dr Colorado Springs CO 80927-9648 Ph: (254) 394-8181 | Autism Behavior Support 445 E Cheyenne Mtn. Bvld, Ste C Colorado Springs CO 80906-4570 Ph: (719) 352-2970 |
NPI Number | 1013678986 |
---|---|
Provider Enumeration Date | 01/04/2022 |
Last Update Date | 05/19/2022 |
Certification Date | 05/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013678986 | NPI | - | NPPES |
1-19-38385 | Other | TX | ABA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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