| Step-in Autism Services Of Alaska, L.l.c. | |
|
267 Washington St Monument CO 80132-9174 | |
| (719) 451-7001 | |
| Not Available |
| Full Name | Step-in Autism Services Of Alaska, L.l.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 267 Washington St, Monument, Colorado |
| Authorized Official Name and Position | Emily Diane Ice (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9073478115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Step-in Autism Services Of Alaska, L.l.c. 16240 Northcliff Pl Elbert CO 80106-8863 Ph: (907) 347-8115 | Step-in Autism Services Of Alaska, L.l.c. 267 Washington St Monument CO 80132-9174 Ph: (719) 451-7001 |
| NPI Number | 1932773207 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932773207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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