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General NPI Number Information
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NPI Number | 1639875214
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Entity Type | Organization
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Legal Business Name | AUTISM WEST BEHAVIORAL PARTNERS, INC
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 11674 HURON ST STE 150
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City | NORTHGLENN
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State | CO
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Zip | 80234-4000
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Country | US
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Telephone | 720-634-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 700 COLORADO BLVD # 703
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City | DENVER
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State | CO
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Zip | 80206-4084
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Country | US
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Telephone | 720-634-9502
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JENNY WEBB
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Credential |
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Telephone | 720-634-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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