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General NPI Number Information
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NPI Number | 1245162122
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Entity Type | Organization
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Legal Business Name | AUTISM SERVICES AND PROGRAMS
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 5275 MARSHALL ST
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City | ARVADA
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State | CO
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Zip | 80002-3918
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Country | US
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Telephone | 928-587-9198
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Fax | 628-288-7758
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Provider Business Mailing Address
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Address Line | 215 SPRING ST
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City | MORRISON
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State | CO
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Zip | 80465-5026
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Country | US
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Telephone | 928-587-9198
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LYDIA CHANEL SHEMWELL
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Credential |
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Telephone | 928-587-9198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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