| Colorado Autism Consultants, Llc | |
| 
					10 Rupert Street Monte Vista CO 81144-1042  | |
| (719) 584-8055 | |
| (303) 957-2251 | 
| Full Name | Colorado Autism Consultants, Llc | 
|---|---|
| Speciality | Behavior Analyst | 
| Location | 10 Rupert Street, Monte Vista, Colorado | 
| Authorized Official Name and Position | Maggie M. Byers (ADMINISTRATIVE/BILLING) | 
| Authorized Official Contact | 5055500489 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Colorado Autism Consultants, Llc 11112 Bellamah Ave. Ne Albuquerque NM 87112-4304 Ph: (505) 550-0489  | Colorado Autism Consultants, Llc 10 Rupert Street Monte Vista CO 81144-1042 Ph: (719) 584-8055  | 
| NPI Number | 1508512807 | 
|---|---|
| Provider Enumeration Date | 02/24/2022 | 
| Last Update Date | 05/16/2023 | 
| Certification Date | 05/16/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508512807 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary | 
San Luis Valley Community Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 4th Ave, Monte Vista, CO 81144 Phone: 719-589-3671  | |
William T Beverly Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 739 1st Ave, Monte Vista, CO 81144 Phone: 719-671-7793  |