| Dba Firefly Autism | |
|
2001 Hoyt St Lakewood CO 80215-1639 | |
| (303) 759-1192 | |
| (303) 759-1194 |
| Full Name | Dba Firefly Autism |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 2001 Hoyt St, Lakewood, Colorado |
| Authorized Official Name and Position | Kenneth Winn (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 3037591192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Firefly Autism 2001 Hoyt St Lakewood CO 80215-1639 Ph: (303) 759-1192 | Dba Firefly Autism 2001 Hoyt St Lakewood CO 80215-1639 Ph: (303) 759-1192 |
| NPI Number | 1619144953 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619144953 | NPI | - | NPPES |
| 17770106 | Medicaid | CO |
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