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General NPI Number Information
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NPI Number | 1740154137
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Entity Type | Organization
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Legal Business Name | COLORADO AUTISM CONSULTANTS
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 613 E. MAIN STREET
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City | BUENA VISTA
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State | CO
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Zip | 81211-2213
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Country | US
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Telephone | 720-548-8055
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Fax | 303-957-2251
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Provider Business Mailing Address
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Address Line | 11112 BELLAMAH AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112
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Country | US
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Telephone | 505-550-0489
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Fax | 303-957-2251
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Authorized Official
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Title or Position | AUTHORIZATION & REVENUE MANAGER
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Name | MAGGIE BYERS
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Credential |
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Telephone | 505-550-0489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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