Healthcare Provider Details

I. General information

NPI: 1093329971
Provider Name (Legal Business Name): ABLELIGHT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5941 MIDDLEFIELD RD STE 100
LITTLETON CO
80123-7937
US

IV. Provider business mailing address

600 HOFFMANN DR
WATERTOWN WI
53094-6223
US

V. Phone/Fax

Practice location:
  • Phone: 303-795-2061
  • Fax:
Mailing address:
  • Phone: 920-261-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MINNING
Title or Position: DIRECTOR OF TREASURY
Credential:
Phone: 920-206-4459