MEDICARE: ACHIEVERS AUTISM SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1558070441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHIEVERS AUTISM SERVICES

Provider Business Mailing Address
First Line	:	1406 N FOOTE AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-2831
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 LAKE PLAZA DR STE B
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-7400
Country	:	US
Telephone Number	:	702-328-4634
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	AMBER SUAREZ
Credential	:	BCBA
Telephone Number	:	702-328-4634

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	11/14/2024

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Directions to “ACHIEVERS AUTISM SERVICES ” Practice Location

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