Healthcare Provider Details

I. General information

NPI: 1104472661
Provider Name (Legal Business Name): ARRAY CLINICAL AND THERAPEUTIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E 27TH ST
LOVELAND CO
80538-3204
US

IV. Provider business mailing address

PO BOX 737
LONGMONT CO
80502-0737
US

V. Phone/Fax

Practice location:
  • Phone: 800-656-2376
  • Fax: 970-775-8107
Mailing address:
  • Phone: 800-656-2376
  • Fax: 970-775-8107

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: JENNIFER ORDWAY
Title or Position: CEO
Credential: MS
Phone: 303-824-9350