MEDICARE: AUTISM SERVICES AND PROGRAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245162122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTISM SERVICES AND PROGRAMS

Provider Business Mailing Address
First Line	:	215 SPRING ST
Second Line	:
City	:	MORRISON
State	:	CO
Zip	:	80465-5026
Country	:	US
Telephone Number	:	928-587-9198
Fax Number	:

Provider Business Practice Location Address
First Line	:	5275 MARSHALL ST
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80002-3918
Country	:	US
Telephone Number	:	928-587-9198
Fax Number	:	628-288-7758

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LYDIA CHANEL SHEMWELL
Credential	:
Telephone Number	:	928-587-9198

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “AUTISM SERVICES AND PROGRAMS ” Practice Location

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