| Mountaintop Autism Partners Llc | |
|
175 Needle Creek Rd Divide CO 80814-8115 | |
| (703) 789-5660 | |
| Not Available |
| Full Name | Mountaintop Autism Partners Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 175 Needle Creek Rd, Divide, Colorado |
| Authorized Official Name and Position | Reed Nelson (OWNER) |
| Authorized Official Contact | 7037895660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountaintop Autism Partners Llc 175 Needle Creek Rd Divide CO 80814-8115 Ph: (703) 789-5660 | Mountaintop Autism Partners Llc 175 Needle Creek Rd Divide CO 80814-8115 Ph: (703) 789-5660 |
| NPI Number | 1346990033 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346990033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Mountaintop Autism Partners Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Needle Creek Rd, Divide, CO 80814 Phone: 703-789-5660 |