Healthcare Provider Details

I. General information

NPI: 1083582928
Provider Name (Legal Business Name): AUTISM SERVICES AND PROGRAMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 MARSHALL ST STE AND204 SUITE 104 & 204
ARVADA CO
80002-3918
US

IV. Provider business mailing address

5275 MARSHALL STREET SUITE 104 AND 204
ARVADA CO
80002
US

V. Phone/Fax

Practice location:
  • Phone: 928-587-9198
  • Fax: 628-288-7758
Mailing address:
  • Phone: 928-587-9198
  • Fax: 628-288-7758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LYDIA CHANEL SHEMWELL
Title or Position: OWNER/OPERATOR
Credential: BCBA
Phone: 928-587-9198