Organization
AUTISM BEHAVIORAL VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BOENIG (OWNER)
(408) 802-4127
Entity
Organization
Contact information
Practice address
8354 E NORTHFIELD BLVD STE 300, DENVER, CO 80238-3131
(720) 961-3764
Mailing address
PO BOX 258831, OKLAHOMA CITY, OK 73125-8831
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/20/2017
Last updated
11/26/2024
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