Healthcare Provider Details

I. General information

NPI: 1093559064
Provider Name (Legal Business Name): BLUEBELL ABA THERAPY SERVICES COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 N BROADWAY STE 1650
DENVER CO
80203-5604
US

IV. Provider business mailing address

1290 N BROADWAY STE 1650
DENVER CO
80203-5604
US

V. Phone/Fax

Practice location:
  • Phone: 720-945-9155
  • Fax: 980-300-8904
Mailing address:
  • Phone: 720-945-9155
  • Fax: 980-300-8904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: AVROHOM RICHMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 216-630-6359