Whalio Doctors

NPI 1619144953

Alta Vista Center for Autism

Organisation Early Intervention Provider Agency Lakewood, CO

Practice location

Address
2001 Hoyt St, Lakewood, CO 80215-1639
Phone
(303) 759-1192
Fax
(303) 759-1194

Authorised official

Name
Kenneth Winn
Title
Chief Clinical Officer
Phone
(303) 759-1192

Registered specialties (3)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 1531305 (CO)
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

Registry record

NPI
1619144953
Entity type
Organization
NPI issued
15 May 2008
Record last updated
10 Mar 2021

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.