Healthcare Provider Details

I. General information

NPI: 1245162122
Provider Name (Legal Business Name): AUTISM SERVICES AND PROGRAMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 MARSHALL ST
ARVADA CO
80002-3918
US

IV. Provider business mailing address

215 SPRING ST
MORRISON CO
80465-5026
US

V. Phone/Fax

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

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: EXECUTIVE DIRECTOR
Credential:
Phone: 928-587-9198