MEDICARE: COLORADO AUTISM CONSULTANTS

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1740154137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO AUTISM CONSULTANTS

Provider Business Mailing Address
First Line	:	11112 BELLAMAH AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112
Country	:	US
Telephone Number	:	505-550-0489
Fax Number	:	303-957-2251

Provider Business Practice Location Address
First Line	:	613 E. MAIN STREET
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-2213
Country	:	US
Telephone Number	:	720-548-8055
Fax Number	:	303-957-2251

Authorized Official
Title or Position	:	AUTHORIZATION & REVENUE MANAGER
Name	:	MAGGIE BYERS
Credential	:
Telephone Number	:	505-550-0489

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	09/30/2025

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Directions to “COLORADO AUTISM CONSULTANTS ” Practice Location

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