| Autism West Behavioral Partners, Inc. | |
|
10730 E Bethany Dr Ste 155 Aurora CO 80014-2692 | |
| (720) 634-9502 | |
| Not Available |
| Full Name | Autism West Behavioral Partners, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10730 E Bethany Dr Ste 155, Aurora, Colorado |
| Authorized Official Name and Position | Jenny Webb (OFFICE MANAGER) |
| Authorized Official Contact | 7206349500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism West Behavioral Partners, Inc. 10730 E Bethany Dr Ste 355 Aurora CO 80014-2806 Ph: (720) 634-9502 | Autism West Behavioral Partners, Inc. 10730 E Bethany Dr Ste 155 Aurora CO 80014-2692 Ph: (720) 634-9502 |
| NPI Number | 1053815118 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 2769835180 |
|---|---|
| Medicare Enrollment ID | O20240201000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053815118 | NPI | - | NPPES |
| Provider Name | Mackenzie Anne Clough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942873773 PECOS PAC ID: 8426401852 Enrollment ID: I20240201000742 |
| Provider Name | Hazel Patel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235719717 PECOS PAC ID: 5890183016 Enrollment ID: I20240202000171 |
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