DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AUTUMN GROUNDS BSW

MEDICARE: AUTUMN GROUNDS BSW
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1982956520
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN GROUNDS BSW
Provider Business Mailing Address
First Line : 125 CRESTRIDGE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3934
Country : US
Telephone Number : 970-494-9761
Fax Number : 970-346-9800
Provider Business Practice Location Address
First Line : 214 S WHITCOMB ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2642
Country : US
Telephone Number : 970-494-9761
Fax Number : 970-346-9800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2012
Last Update Date : 10/05/2012

Similar Medicare Providers

1639051774 — GEMMA A INGUANTA MSW
Practice Location Address:
232 S WHITCOMB ST
FORT COLLINS, CO
80521-2642
Practice Phone: 516-314-1751
Practice Fax:
1801148382 — MEGHAN E MORSE BS
Practice Location Address:
214 S WHITCOMB ST
FORT COLLINS, CO
80521-2642
Practice Phone: 970-494-4200
Practice Fax:
1902255623 — ASHLEY H TALBOT BS
Practice Location Address:
214 S WHITCOMB ST
FORT COLLINS, CO
80521-2642
Practice Phone: 970-494-4200
Practice Fax:
1578913059 — PRESTON S MCGINTY BSW
Practice Location Address:
214 S WHITCOMB ST
FORT COLLINS, CO
80521-2642
Practice Phone: 970-494-4200
Practice Fax:
1710434808 — REGINA L PAPAS BS
Practice Location Address:
214 S WHITCOMB ST
FORT COLLINS, CO
80521-2642
Practice Phone: 970-494-4200
Practice Fax:
1871042846 — AMIRA MISURATI BS
Practice Location Address:
214 S WHITCOMB ST
FORT COLLINS, CO
80521-2642
Practice Phone: 970-494-4200
Practice Fax:

Directions to “ AUTUMN GROUNDS BSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.