Healthcare Provider Details

I. General information

NPI: 1033667373
Provider Name (Legal Business Name): INTEGRATED SPEECH & BEHAVIOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 E POWERS AVE
GREENWOOD VILLAGE CO
80111-3545
US

IV. Provider business mailing address

9700 E POWERS AVE
GREENWOOD VILLAGE CO
80111-3545
US

V. Phone/Fax

Practice location:
  • Phone: 303-596-9074
  • Fax:
Mailing address:
  • Phone: 303-596-9074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY BELL FETTER
Title or Position: OWNER
Credential: CCC-SLP & BCBA
Phone: 303-596-9074