Healthcare Provider Details

I. General information

NPI: 1902748189
Provider Name (Legal Business Name): COLORADO AUTISM CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S. MAIN ST.
LAMAR CO
81052-3807
US

IV. Provider business mailing address

10650 E BETHANY DR. STE A
AURORA CO
80014-2653
US

V. Phone/Fax

Practice location:
  • Phone: 720-584-8055
  • Fax: 303-957-2251
Mailing address:
  • Phone: 505-550-0489
  • Fax: 303-957-2251

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: MAGGIE BYERS
Title or Position: AUTHORIZATION & REVENUE MANAGER
Credential:
Phone: 505-550-0489