| Firefly Autism | |
|
2001 Hoyt Street Lakewood CO 80215 | |
| (303) 759-1192 | |
| Not Available |
| Full Name | Firefly Autism |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2001 Hoyt Street, Lakewood, Colorado |
| Authorized Official Name and Position | Ken Winn (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 3037591192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firefly Autism 2001 Hoyt St. Lakewood CO 80215 Ph: (303) 759-1192 | Firefly Autism 2001 Hoyt Street Lakewood CO 80215 Ph: (303) 759-1192 |
| NPI Number | 1679199566 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679199566 | NPI | - | NPPES |
| 92354050 | Medicaid | CO |
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