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NPI Code Detail

MEDICARE: AUTISM BEHAVIORAL VENTURES LLC

MEDICARE: AUTISM BEHAVIORAL VENTURES LLC
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1689532129
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTISM BEHAVIORAL VENTURES LLC
Provider Business Mailing Address
First Line : 447 WHITE ASH DR
Second Line :
City : GOLDEN
State : CO
Zip : 80403-7780
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4545 NAVAJO ST
Second Line :
City : DENVER
State : CO
Zip : 80211-2440
Country : US
Telephone Number : 775-560-3345
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JONATHAN MUELLER
Credential :
Telephone Number : 775-560-3345
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “AUTISM BEHAVIORAL VENTURES LLC ” Practice Location

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