NPI 1093172462

Fire Fly Autism

Organisation Preferred Provider Organization Boulder, CO

Practice location

Address: 1332 6th St, Boulder, CO 80302-5801
Phone: (508) 455-7848

Authorised official

Name: Michela Orsogna Muir
Title: Bcba
Phone: (508) 455-7848

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1-15-18951 (MA)

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Registry record

NPI: 1093172462
Entity type: Organization
NPI issued: 15 Jan 2016
Record last updated: 15 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.