Healthcare Provider Details

I. General information

NPI: 1043047541
Provider Name (Legal Business Name): ABOVE AND BEYOND ABA CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13770 E RICE PL
AURORA CO
80015-1057
US

IV. Provider business mailing address

1500 N GRANT ST STE R
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 303-357-3304
  • Fax:
Mailing address:
  • Phone: 303-357-3304
  • 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: MR. MATT ROKOWSKY
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 405-649-5579