Healthcare Provider Details

I. General information

NPI: 1407522006
Provider Name (Legal Business Name): ENVOI ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E 29TH ST STE 200A
LOVELAND CO
80538-2765
US

IV. Provider business mailing address

150 E 29TH ST STE 200A
LOVELAND CO
80538-2765
US

V. Phone/Fax

Practice location:
  • Phone: 629-256-3888
  • Fax: 888-251-2618
Mailing address:
  • Phone: 629-256-3888
  • Fax: 888-251-2618

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: JESSICA BOLLMAN
Title or Position: EXECUTIVE DIRECTOR
Credential: MS, BCBA
Phone: 629-256-3888