Organization
FIRE FLY AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELA ORSOGNA MUIR M.S. (BCBA)
(508) 455-7848
Entity
Organization
Contact information
Practice address
1332 6TH ST, BOULDER, CO 80302-5801
(508) 455-7848
Mailing address
1332 6TH ST, BOULDER, CO 80302-5801
(508) 455-7848
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1-15-18951
MA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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